is a Pediatric Dental Clinic in Houston, Texas. It is located at 8200 Wednesbury Ln Ste 108, Houston, TX and its contact number is 713-772-2141. The authorized person for is Shervin Amini
who is Credentialing Spcialist of the clinic and their contact number is 713-647-8199. The primary license number for is 23077 (Pediatric Dentistry) in Texas. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Shervin Amini
Position:
Credentialing Spcialist
Contact Number:
713-647-8199
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1629451653
NPI Enumeration Date:
08 Jul, 2015
NPI Last Update On:
26 Aug, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
23077
Texas
Primary
Case Management
23077
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
23077
Other
Texas
License Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8200 Wednesbury Ln Ste 108, Houston, Texas
Zip:
77074-2931
Phone Number:
713-772-2141
Patients can reach at 8200 Wednesbury Ln Ste 108, Houston, Texas or can call to book an appointment on 713-772-2141. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.