Provider Demographics
NPI:1831519925
Name:HONEST FAMILY DENTAL
Entity type:Organization
Organization Name:HONEST FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMEET
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-968-7857
Mailing Address - Street 1:500 E BEN WHITE BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7470
Mailing Address - Country:US
Mailing Address - Phone:512-968-7857
Mailing Address - Fax:
Practice Address - Street 1:421 W 3RD ST
Practice Address - Street 2:APT 503
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-4052
Practice Address - Country:US
Practice Address - Phone:317-340-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty