MEDICARE: WELL DENTAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19674	TX

General Provider Information

NPI Number	:	1164785622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL DENTAL GROUP

Provider Business Mailing Address
First Line	:	2304 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-6731
Country	:	US
Telephone Number	:	832-377-3030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-6731
Country	:	US
Telephone Number	:	832-377-3030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FARHAD SHIRAZIAN
Credential	:	D.D.S
Telephone Number	:	281-804-3838

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	07/16/2012

Similar Medicare Providers

1760006381 — CLAUDIA BERNAL FNP-C
Practice Location Address:

2302 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 281-272-0888
Practice Fax:

1366576811 — TIDWELL PROFESSION PHARMACY INC
Practice Location Address:

2310 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 713-694-5977
Practice Fax: 713-694-2450

1538293162 — NORMA CASTELLANOS RPH
Practice Location Address:

2310 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 713-694-5977
Practice Fax: 713-694-2450

1205229911 — FATISHA ANTIONETTE WALKER
Practice Location Address:

2312 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 281-272-0888
Practice Fax: 832-559-8584

1912351974 — CHILDRENS SPECIALTY CARE CLINIC
Practice Location Address:

2312 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 713-559-0786
Practice Fax:

1124572318 — HUY NGUYEN
Practice Location Address:

2302 TIDWELL RD
HOUSTON, TX
77093-6731

Practice Phone: 281-272-0888
Practice Fax: 832-559-8584

Directions to “WELL DENTAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.