Provider Demographics
NPI:1215826151
Name:PRUNEDA, NATALIE ANAHI (DDS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANAHI
Last Name:PRUNEDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 W OREM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4107
Mailing Address - Country:US
Mailing Address - Phone:956-433-4344
Mailing Address - Fax:
Practice Address - Street 1:4613 W OREM DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4107
Practice Address - Country:US
Practice Address - Phone:956-433-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX415001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice