Provider Demographics
NPI:1881965218
Name:ANNA DENTAL PLLC
Entity type:Organization
Organization Name:ANNA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:SAAM
Authorized Official - Last Name:SAJADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-983-0099
Mailing Address - Street 1:6370 N ELDRIDGE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-3516
Mailing Address - Country:US
Mailing Address - Phone:713-983-0099
Mailing Address - Fax:713-983-0071
Practice Address - Street 1:6370 N ELDRIDGE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-3516
Practice Address - Country:US
Practice Address - Phone:713-983-0099
Practice Address - Fax:713-983-0071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERIODENT, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-17
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202361223G0001X
TX282191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty