Provider Demographics
NPI:1124312293
Name:WEARE DDS, PLLC
Entity type:Organization
Organization Name:WEARE DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHANH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-909-4443
Mailing Address - Street 1:10550 W BELLFORT ST
Mailing Address - Street 2:SUITE #140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-1934
Mailing Address - Country:US
Mailing Address - Phone:281-530-7330
Mailing Address - Fax:281-530-9262
Practice Address - Street 1:10550 W BELLFORT ST
Practice Address - Street 2:SUITE #140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-1934
Practice Address - Country:US
Practice Address - Phone:281-530-7330
Practice Address - Fax:281-530-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty