Provider Demographics
NPI:1851041057
Name:ADONIA DENTISTRY
Entity Type:Organization
Organization Name:ADONIA DENTISTRY
Other - Org Name:ADONIA DENTISRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUFELE MEFO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-450-6040
Mailing Address - Street 1:1917 STUDEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4410
Mailing Address - Country:US
Mailing Address - Phone:508-450-6040
Mailing Address - Fax:
Practice Address - Street 1:1917 STUDEWOOD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4410
Practice Address - Country:US
Practice Address - Phone:508-450-6040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Multi-Specialty
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service