Provider Demographics
NPI:1821512146
Name:ARMIN ALIEFENDIC , PLLC
Entity Type:Organization
Organization Name:ARMIN ALIEFENDIC , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIEFENDIC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-351-9700
Mailing Address - Street 1:1710 W 287 BUSINESS STE 140
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-4733
Mailing Address - Country:US
Mailing Address - Phone:972-351-9700
Mailing Address - Fax:888-222-9544
Practice Address - Street 1:1710 W. 287 BUSINESS
Practice Address - Street 2:SUITE 140
Practice Address - City:WAXAHACIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-351-9700
Practice Address - Fax:888-222-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1992829311OtherDR. ALECO TUJIOS
TX1245783323Medicaid
TX1689766438OtherDR. JON OUSLEY
TX350329402Medicaid
TX090778403Medicaid
TX1174949101OtherDR. ROMA GANDHI
TX1245783323OtherDR. SHANNON DE VERA
TX1174949101Medicaid
TX1003229311OtherDR. SHEALA LANSDEN
TX1407056674OtherDR. JOE PARKER
TX187989204Medicaid
TX1992829311Medicaid