Provider Demographics
NPI:1629636212
Name:AESTHETIC DENTISTRY AND IMPLANT CENTER PLLC
Entity Type:Organization
Organization Name:AESTHETIC DENTISTRY AND IMPLANT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHITEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-489-8181
Mailing Address - Street 1:3500 CORINTH PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76208
Mailing Address - Country:US
Mailing Address - Phone:940-489-8181
Mailing Address - Fax:940-489-8182
Practice Address - Street 1:3500 CORINTH PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208
Practice Address - Country:US
Practice Address - Phone:940-489-8181
Practice Address - Fax:940-489-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty