MEDICARE: JANICE F BABIN DDS, FAGD AND ASSOCIATES, PA

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	17130	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023265360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANICE F BABIN DDS, FAGD AND ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	3807 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-4317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3807 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-4317
Country	:	US
Telephone Number	:	281-497-0111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JANICE BABIN
Credential	:	DDS
Telephone Number	:	281-497-0111

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	08/19/2008

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