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NPI Code Detail

MEDICARE: ALLIED DENTAL ASSOCIATES, INC.

MEDICARE: ALLIED DENTAL ASSOCIATES, INC.
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
11223G0001XGeneral Practice Dentistry13470TX

General Provider Information

NPI Number : 1831246149
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED DENTAL ASSOCIATES, INC.
Provider Business Mailing Address
First Line : PO BOX 300547
Second Line :
City : HOUSTON
State : TX
Zip : 77230-0547
Country : US
Telephone Number : 713-520-7447
Fax Number : 713-942-7070
Provider Business Practice Location Address
First Line : 1709 DRYDEN RD
Second Line : SUITE 1411
City : HOUSTON
State : TX
Zip : 77030-2400
Country : US
Telephone Number : 713-520-7447
Fax Number : 713-942-7070
Authorized Official
Title or Position : OWNER
Name : MR. BRIAN LEE KARASIC
Credential : DMD
Telephone Number : 713-520-7447
Provider Enumeration Date : 01/05/2007
Last Update Date : 08/22/2020

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Directions to “ALLIED DENTAL ASSOCIATES, INC. ” Practice Location

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