Provider Demographics
NPI:1801085329
Name:DORSEY DENTAL SERVICES P.C.
Entity type:Organization
Organization Name:DORSEY DENTAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-450-0000
Mailing Address - Street 1:10928 I-10 EAST FREEWAY
Mailing Address - Street 2:
Mailing Address - City:JACINTO CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1912
Mailing Address - Country:US
Mailing Address - Phone:713-450-0000
Mailing Address - Fax:713-450-2704
Practice Address - Street 1:10928 I-10 EAST FREEWAY
Practice Address - Street 2:
Practice Address - City:JACINTO CITY
Practice Address - State:TX
Practice Address - Zip Code:77029-1912
Practice Address - Country:US
Practice Address - Phone:713-450-0000
Practice Address - Fax:713-450-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty