Provider Demographics
NPI:1942624804
Name:SERGERIE, HELEN (DMD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SERGERIE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25815 BUDDE RD
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2009
Mailing Address - Country:US
Mailing Address - Phone:281-367-4007
Mailing Address - Fax:281-367-4012
Practice Address - Street 1:25815 BUDDE RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2009
Practice Address - Country:US
Practice Address - Phone:281-367-4007
Practice Address - Fax:281-367-4012
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19623122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist