Provider Demographics
NPI:1225634850
Name:AMIN, ARIK (DMD)
Entity type:Individual
Prefix:
First Name:ARIK
Middle Name:
Last Name:AMIN
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-5512
Mailing Address - Country:US
Mailing Address - Phone:607-953-4445
Mailing Address - Fax:
Practice Address - Street 1:2401 N SHEPHERD DR STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2993
Practice Address - Country:US
Practice Address - Phone:832-617-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0631941223P0221X
TX412821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry