Provider Demographics
NPI:1710657788
Name:G ATHANASI ORFANOS DDS PLLC
Entity Type:Organization
Organization Name:G ATHANASI ORFANOS DDS PLLC
Other - Org Name:ORFANOS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ORFANOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-322-8060
Mailing Address - Street 1:4167 CROSSPOINT BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1803
Mailing Address - Country:US
Mailing Address - Phone:956-322-8060
Mailing Address - Fax:
Practice Address - Street 1:4167 CROSSPOINT BOULEVARD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-322-8060
Practice Address - Fax:956-322-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental