| Houston Dental Health Institute Pa | |
|
800 Bering Dr Suite 204 Houston TX 77057-2143 | |
| (713) 785-7767 | |
| (713) 784-7134 |
| Full Name | Houston Dental Health Institute Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Bering Dr, Houston, Texas |
| Authorized Official Name and Position | Marilyn K Jones (OWNER) |
| Authorized Official Contact | 7137857767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Dental Health Institute Pa 800 Bering Dr Suite 204 Houston TX 77057-2143 Ph: (713) 785-7767 | Houston Dental Health Institute Pa 800 Bering Dr Suite 204 Houston TX 77057-2143 Ph: (713) 785-7767 |
| NPI Number | 1295919827 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 5294918819 |
|---|---|
| Medicare Enrollment ID | O20211012002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295919827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 012297 (Texas) | Primary |
| Provider Name | Marilyn K Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225250632 PECOS PAC ID: 7911180534 Enrollment ID: I20210517001047 |
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