Provider Demographics
NPI:1982052858
Name:INSTYLE DENTAL GROUP
Entity Type:Organization
Organization Name:INSTYLE DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL-RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-690-3368
Mailing Address - Street 1:2600 GESSNER RD STE 226
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3843
Mailing Address - Country:US
Mailing Address - Phone:713-690-3368
Mailing Address - Fax:713-690-1215
Practice Address - Street 1:2600 GESSNER RD STE 226
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3843
Practice Address - Country:US
Practice Address - Phone:713-690-3368
Practice Address - Fax:713-690-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24337261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2080210Medicaid