Provider Demographics
NPI:1104258466
Name:GIDEONS P.C.
Entity type:Organization
Organization Name:GIDEONS P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDEON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-772-3817
Mailing Address - Street 1:9301 BISSONNET ST
Mailing Address - Street 2:SUITE 165
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1498
Mailing Address - Country:US
Mailing Address - Phone:713-772-3817
Mailing Address - Fax:
Practice Address - Street 1:9301 BISSONNET ST
Practice Address - Street 2:SUITE 165
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1498
Practice Address - Country:US
Practice Address - Phone:713-772-3817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty