Provider Demographics
NPI:1710339130
Name:ALTAMEEMI, ALI (DDS)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ALTAMEEMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5706 SAN FELIPE ST STE B300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3241
Mailing Address - Country:US
Mailing Address - Phone:832-916-4144
Mailing Address - Fax:832-827-7461
Practice Address - Street 1:5706 SAN FELIPE ST STE B300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3241
Practice Address - Country:US
Practice Address - Phone:832-916-4144
Practice Address - Fax:832-827-7461
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-09
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX326501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice