Provider Demographics
NPI:1912314048
Name:DANNY ORSAK DDS, PLLC
Entity Type:Organization
Organization Name:DANNY ORSAK DDS, PLLC
Other - Org Name:ORAL DENTAL CARES
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ORSAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-469-4500
Mailing Address - Street 1:11049 FM 1960 RD W STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4978
Mailing Address - Country:US
Mailing Address - Phone:281-469-4500
Mailing Address - Fax:281-469-2114
Practice Address - Street 1:11049 FM 1960 RD W STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4978
Practice Address - Country:US
Practice Address - Phone:281-469-4500
Practice Address - Fax:281-469-2114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANNY ORSAK DDS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-21
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12876302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization