Provider Demographics
NPI:1134551476
Name:DESAI, SAUMEEN SUDHIR (DDS)
Entity type:Individual
Prefix:DR
First Name:SAUMEEN
Middle Name:SUDHIR
Last Name:DESAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17748 KATY FWY STE 5
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1333
Mailing Address - Country:US
Mailing Address - Phone:281-646-1133
Mailing Address - Fax:
Practice Address - Street 1:17748 KATY FWY STE 5
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1333
Practice Address - Country:US
Practice Address - Phone:281-646-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2024-07-09
Deactivation Date:2024-06-17
Deactivation Code:
Reactivation Date:2024-07-09
Provider Licenses
StateLicense IDTaxonomies
TX29384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist