MEDICARE: INSTYLE DENTAL GROUP

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	261QD0000X	Dental Clinic/Center	24337	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982052858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTYLE DENTAL GROUP

Provider Business Mailing Address
First Line	:	2600 GESSNER RD STE 226
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3843
Country	:	US
Telephone Number	:	713-690-3368
Fax Number	:	713-690-1215

Provider Business Practice Location Address
First Line	:	2600 GESSNER RD STE 226
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3843
Country	:	US
Telephone Number	:	713-690-3368
Fax Number	:	713-690-1215

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FIRAS ABDEL-RAHMAN
Credential	:	DMD
Telephone Number	:	713-690-3368

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	06/01/2016

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Directions to “INSTYLE DENTAL GROUP ” Practice Location

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