| Bellaire Dental | |
|
8880 Bellaire Blvd Ste F Houston TX 77036-4621 | |
| (281) 888-5150 | |
| (281) 888-5584 |
| Full Name | Bellaire Dental |
|---|---|
| Speciality | Dentist |
| Location | 8880 Bellaire Blvd Ste F, Houston, Texas |
| Authorized Official Name and Position | Dongfang Li (OWNER/DENTIST) |
| Authorized Official Contact | 2818885150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellaire Dental 8880 Bellaire Blvd Ste F Houston TX 77036-4621 Ph: (281) 888-5150 | Bellaire Dental 8880 Bellaire Blvd Ste F Houston TX 77036-4621 Ph: (281) 888-5150 |
| NPI Number | 1285071746 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 06/24/2023 |
| Medicare PECOS PAC ID | 8628440179 |
|---|---|
| Medicare Enrollment ID | O20230208003154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285071746 | NPI | - | NPPES |
| 1659602993 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23786 (Texas) | Primary |
| Provider Name | Dongfang Li |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659602993 PECOS PAC ID: 1658678826 Enrollment ID: I20230208003195 |
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