Provider Demographics
NPI:1285750661
Name:GH RADFORD, DDS & ASSOCIATES INC
Entity type:Organization
Organization Name:GH RADFORD, DDS & ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-799-1400
Mailing Address - Street 1:2280 HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4224
Mailing Address - Country:US
Mailing Address - Phone:713-799-1400
Mailing Address - Fax:713-799-1751
Practice Address - Street 1:2280 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4224
Practice Address - Country:US
Practice Address - Phone:713-799-1400
Practice Address - Fax:713-799-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty