Provider Demographics
NPI:1316781818
Name:ESSENTIAL DENTAL
Entity type:Organization
Organization Name:ESSENTIAL DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:VU
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-419-1786
Mailing Address - Street 1:12706 NORTHWEST FREEWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092
Mailing Address - Country:US
Mailing Address - Phone:713-239-0098
Mailing Address - Fax:346-802-2921
Practice Address - Street 1:12706 NORTHWEST FREEWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092
Practice Address - Country:US
Practice Address - Phone:713-239-0098
Practice Address - Fax:346-802-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty