Provider Demographics
NPI:1629498050
Name:UNITY DENTAL
Entity Type:Organization
Organization Name:UNITY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABETI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-433-7252
Mailing Address - Street 1:910 S WAYSIDE DR
Mailing Address - Street 2:STE.300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3428
Mailing Address - Country:US
Mailing Address - Phone:832-433-7252
Mailing Address - Fax:832-668-5447
Practice Address - Street 1:910 S WAYSIDE DR
Practice Address - Street 2:STE.300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4605
Practice Address - Country:US
Practice Address - Phone:832-433-7252
Practice Address - Fax:832-668-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty