Provider Demographics
NPI:1154998763
Name:DENTAL NOUVEAU, PLLC
Entity type:Organization
Organization Name:DENTAL NOUVEAU, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTUST
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-360-1618
Mailing Address - Street 1:2111 S IH 35 STE 1101
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6862
Mailing Address - Country:US
Mailing Address - Phone:830-360-1618
Mailing Address - Fax:
Practice Address - Street 1:2111 S IH 35 STE 1101
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6862
Practice Address - Country:US
Practice Address - Phone:830-360-1618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental