| Pasadena Dental & Orthodontics Pllc | |
|
1611 Spencer Hwy C & D1 South Houston TX 77587-3772 | |
| (817) 529-8151 | |
| (817) 529-8156 |
| Full Name | Pasadena Dental & Orthodontics Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1611 Spencer Hwy, South Houston, Texas |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Dental & Orthodontics Pllc 1611 Spencer Hwy C & D1 South Houston TX 77587-3772 Ph: (817) 529-8151 | Pasadena Dental & Orthodontics Pllc 1611 Spencer Hwy C & D1 South Houston TX 77587-3772 Ph: (817) 529-8151 |
| NPI Number | 1316324155 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316324155 | NPI | - | NPPES |
| 182419510 | Medicaid | TX | |
| 182419513 | Medicaid | TX | |
| 182419515 | Medicaid | TX | |
| 182419514 | Medicaid | TX | |
| 182419517 | Medicaid | TX | |
| 182419511 | Medicaid | TX | |
| 182419516 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23066 (Texas) | Primary |
Houston Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Spencer Hwy, South Houston, TX 77587 Phone: 713-910-1002 | |
Gmorgan Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Spencer Hwy # H, South Houston, TX 77587 Phone: 713-779-1800 | |
Glitter Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Spencer Hwy, Suite H, South Houston, TX 77587 Phone: 713-782-1800 Fax: 713-782-1847 | |
Spencer Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Spencer Hwy Ste H, South Houston, TX 77587 Phone: 713-910-2800 Fax: 713-310-2801 | |
Centra Dental South Houston Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 College Ave, South Houston, TX 77587 Phone: 713-941-7555 | |
Prio Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Spencer Hwy, South Houston, TX 77587 Phone: 713-910-1002 Fax: 713-583-7580 |