Healthcare Provider Details

I. General information

NPI: 1346589561
Provider Name (Legal Business Name): SPRING ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 SAWDUST RD # 107
SPRING TX
77380-2385
US

IV. Provider business mailing address

525 SAWDUST RD # 107
SPRING TX
77380-2385
US

V. Phone/Fax

Practice location:
  • Phone: 281-203-0503
  • Fax: 281-203-0563
Mailing address:
  • Phone: 281-203-0503
  • Fax: 281-203-0563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. SHIWEI CAI
Title or Position: OWNER
Credential: DDS, MSD,MS,PHD
Phone: 713-806-0264