MEDICARE: ACS VENTURES LLC

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	28219	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28219	OTHER	TX	TEXAS DENTAL LICENSE

General Provider Information

NPI Number	:	1659857332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACS VENTURES LLC

Provider Business Mailing Address
First Line	:	3425 HIGHWAY 6 STE 108
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4439
Country	:	US
Telephone Number	:	832-532-7120
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 HIGHWAY 6 STE 108
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4439
Country	:	US
Telephone Number	:	832-532-7120
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ALI S SAJADI
Credential	:	DDS, MSD
Telephone Number	:	832-532-7120

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	06/11/2019

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Directions to “ACS VENTURES LLC ” Practice Location

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