Periodontal Center Of Excellence Pllc

LBN: Periodontal Center Of Excellence Pllc
Periodontal Center Of Excellence Pllc is an health care organization with primary practice located at 3 Grogans Park Dr Ste 103 , Spring TX 77380-2937. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Ambulatory Health Care Facilities / Dental. Dental Providers / Periodontics is the primary health care specialty. Periodontal Center Of Excellence Pllc can be contacted via phone (281) 292-1833, or through Sajadi, Ali Saam via phone (832) 452-8625.

Contact Information

Primary practice address
3 Grogans Park Dr Ste 103 Spring TX 77380-2937
Fax:
Website:
Authorized official contact:
Name: Sajadi, Ali Saam DDS MSD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1942928502
LBN Legal business name Periodontal Center Of Excellence Pllc
DBA Doing business as
Authorized official Sajadi, Ali Saam DDS MSD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2022
Last updated Aug 19th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942928502 NPPES
Texas Other 28219 LICENSE

Popular Providers