Provider Demographics
NPI:1710067749
Name:POINDEXTER DENTAL INCORPORATED
Entity Type:Organization
Organization Name:POINDEXTER DENTAL INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEB
Authorized Official - Middle Name:F
Authorized Official - Last Name:POINDEXTER
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-734-7611
Mailing Address - Street 1:7703 CULLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-1905
Mailing Address - Country:US
Mailing Address - Phone:713-734-7611
Mailing Address - Fax:713-731-1766
Practice Address - Street 1:7703 CULLEN BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1905
Practice Address - Country:US
Practice Address - Phone:713-734-7611
Practice Address - Fax:713-731-1766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZEB F. POINDEXTER D.D.S., INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-16
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty