Provider Demographics
NPI:1831505015
Name:DENTISTS ON HILLCROFT, PLLC
Entity type:Organization
Organization Name:DENTISTS ON HILLCROFT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DORSAINVILLE-DIANGANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-849-1968
Mailing Address - Street 1:6400 HILLCROFT ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3106
Mailing Address - Country:US
Mailing Address - Phone:832-849-1968
Mailing Address - Fax:
Practice Address - Street 1:6400 HILLCROFT ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3106
Practice Address - Country:US
Practice Address - Phone:832-849-1968
Practice Address - Fax:832-849-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25198122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty