Provider Demographics
NPI:1740780071
Name:AMAZING DENTAL SOLUTIONS PLLC
Entity Type:Organization
Organization Name:AMAZING DENTAL SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:346-570-5983
Mailing Address - Street 1:14515 KATY FWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1300
Mailing Address - Country:US
Mailing Address - Phone:346-570-5983
Mailing Address - Fax:
Practice Address - Street 1:14515 KATY FWY STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1300
Practice Address - Country:US
Practice Address - Phone:346-570-5983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28924261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental