Provider Demographics
NPI:1801678727
Name:RISE DENTISTRY PLLC SERIES A RS
Entity type:Organization
Organization Name:RISE DENTISTRY PLLC SERIES A RS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORATHIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-857-6389
Mailing Address - Street 1:701 PIN OAK RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8412 KATY FWY STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1951
Practice Address - Country:US
Practice Address - Phone:281-857-6389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental