Provider Demographics
NPI:1922733468
Name:CES DENTAL ENTERPRISE PLLC
Entity Type:Organization
Organization Name:CES DENTAL ENTERPRISE PLLC
Other - Org Name:CHEMI FAMILY DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:HERNANDEZ MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-754-0249
Mailing Address - Street 1:19038 YELLOWSTONE LANDING CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8132
Mailing Address - Country:US
Mailing Address - Phone:915-235-0110
Mailing Address - Fax:
Practice Address - Street 1:13649 EASTLAKE BLVD STE E2 AND E3
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928
Practice Address - Country:US
Practice Address - Phone:915-235-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty