Provider Demographics
NPI:1891838397
Name:BERNARD B. NATKIN, D.M.D.
Entity Type:Organization
Organization Name:BERNARD B. NATKIN, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:BORIS
Authorized Official - Last Name:NATKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-981-0000
Mailing Address - Street 1:5959 WEST LOOP S
Mailing Address - Street 2:620
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2421
Mailing Address - Country:US
Mailing Address - Phone:713-981-0000
Mailing Address - Fax:713-665-8885
Practice Address - Street 1:5959 WEST LOOP S
Practice Address - Street 2:620
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-981-0000
Practice Address - Fax:713-665-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14992Medicare UPIN
TXOOL048Medicare UPIN