MEDICARE: UNITY DENTAL

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	122300000X	Dentist

General Provider Information

NPI Number	:	1629498050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY DENTAL

Provider Business Mailing Address
First Line	:	910 S WAYSIDE DR
Second Line	:	STE.300
City	:	HOUSTON
State	:	TX
Zip	:	77023-3428
Country	:	US
Telephone Number	:	832-433-7252
Fax Number	:	832-668-5447

Provider Business Practice Location Address
First Line	:	910 S WAYSIDE DR
Second Line	:	STE.300
City	:	HOUSTON
State	:	TX
Zip	:	77011-4605
Country	:	US
Telephone Number	:	832-433-7252
Fax Number	:	832-668-5447

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MIKE A SABETI
Credential	:	DDS
Telephone Number	:	832-433-7252

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	04/28/2014

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Directions to “UNITY DENTAL ” Practice Location

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