Provider Demographics
NPI:1780629352
Name:ATKINSON, EUGENIA (DMD)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:EUGENIA
Other - Middle Name:
Other - Last Name:BADESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1500 RESEARCH FOREST DR, STE 220
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-859-4624
Mailing Address - Fax:281-859-4630
Practice Address - Street 1:1500 RESEARCH FOREST DR, STE 220
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:281-859-4624
Practice Address - Fax:281-859-4630
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice