Provider Demographics
NPI:1780497156
Name:SERENITY OAKS DENTAL PLLC
Entity type:Organization
Organization Name:SERENITY OAKS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-912-3562
Mailing Address - Street 1:23334 SEVEN WINDS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7144
Mailing Address - Country:US
Mailing Address - Phone:917-912-3562
Mailing Address - Fax:
Practice Address - Street 1:14400 JONES MALTSBERGER RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3748
Practice Address - Country:US
Practice Address - Phone:210-545-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty