Provider Demographics
NPI:1194942888
Name:FALAHAT, ALI (DDS)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:FALAHAT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 HILLCROFT AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-783-6060
Mailing Address - Fax:713-783-6069
Practice Address - Street 1:5711 HILLCROFT ST
Practice Address - Street 2:SUITE A2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2215
Practice Address - Country:US
Practice Address - Phone:713-783-6060
Practice Address - Fax:713-783-6069
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice