| Abc Dental | |
|
1313 Strawberry Rd Pasadena TX 77502-2601 | |
| (713) 472-6100 | |
| (713) 472-6101 |
| Full Name | Abc Dental |
|---|---|
| Speciality | Dentist |
| Location | 1313 Strawberry Rd, Pasadena, Texas |
| Authorized Official Name and Position | Iraj S Jabbary (PRESIDENT) |
| Authorized Official Contact | 7139446800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Dental 1500 Southmore Ave Pasadena TX 77502-1307 Ph: (713) 944-6800 | Abc Dental 1313 Strawberry Rd Pasadena TX 77502-2601 Ph: (713) 472-6100 |
| NPI Number | 1144242843 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 2264725928 |
|---|---|
| Medicare Enrollment ID | O20160719001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144242843 | NPI | - | NPPES |
| 164551701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18929 (Texas) | Primary |
| Provider Name | Syeda A Reyes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265729321 PECOS PAC ID: 1951692250 Enrollment ID: I20160616001142 |
| Provider Name | Mustafa G Alsafi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316321482 PECOS PAC ID: 8022309327 Enrollment ID: I20160616001231 |
| Provider Name | Soujanya Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477700789 PECOS PAC ID: 1052601994 Enrollment ID: I20160616001365 |
| Provider Name | Snigda Goutareddy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669796116 PECOS PAC ID: 1153612486 Enrollment ID: I20160616002181 |
| Provider Name | Anju N Mandhani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821285065 PECOS PAC ID: 5890088058 Enrollment ID: I20160726000531 |
| Provider Name | Kim Thu Dinh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982768511 PECOS PAC ID: 0547554412 Enrollment ID: I20160816001329 |
| Provider Name | Abdirahman Nur |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972838415 PECOS PAC ID: 1557641305 Enrollment ID: I20161213001411 |
| Provider Name | Travis J Cook |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265846448 PECOS PAC ID: 1052691607 Enrollment ID: I20161217000006 |
| Provider Name | Arnel Celestino |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497776645 PECOS PAC ID: 1355883737 Enrollment ID: I20240613000910 |
| Provider Name | Iraj Jabbary |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376564518 PECOS PAC ID: 6709176985 Enrollment ID: I20240614000143 |
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