MEDICARE: SPRING KLEIN DENTAL SPECIALISTS

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	1223E0200X	Endodontics	30839	TX

General Provider Information

NPI Number	:	1376928267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING KLEIN DENTAL SPECIALISTS

Provider Business Mailing Address
First Line	:	6078 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	832-709-0198
Fax Number	:	832-827-4188

Provider Business Practice Location Address
First Line	:	6078 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	832-709-0198
Fax Number	:	832-827-4188

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. BERNARDO SARMIENTO JR.
Credential	:	DDS
Telephone Number	:	832-709-0198

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	07/21/2015

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