MEDICARE: SPIRA 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1902368012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRA DENTAL

Provider Business Mailing Address
First Line	:	5233 BELLAIRE BLVD STE 240
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3901
Country	:	US
Telephone Number	:	832-422-8099
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 BRIAR HOLLOW LN STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2820
Country	:	US
Telephone Number	:	832-422-8099
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	AARON GLICK
Credential	:	DDS
Telephone Number	:	832-422-8099

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	02/07/2025

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Directions to “SPIRA DENTAL ” Practice Location

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