Provider Demographics
NPI:1982715611
Name:HANDLEY DENTAL
Entity Type:Organization
Organization Name:HANDLEY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HANDLEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-304-4744
Mailing Address - Street 1:10730 BARKER CYPRESS RD
Mailing Address - Street 2:STE A
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433
Mailing Address - Country:US
Mailing Address - Phone:281-304-4744
Mailing Address - Fax:281-304-4790
Practice Address - Street 1:10730 BARKER CYPRESS RD
Practice Address - Street 2:STE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:281-304-4744
Practice Address - Fax:281-304-4790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19840122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty