Provider Demographics
NPI:1336879824
Name:1 STOP DENTISTRY MEADOWS PLACE PLLC
Entity type:Organization
Organization Name:1 STOP DENTISTRY MEADOWS PLACE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-630-5975
Mailing Address - Street 1:4015 SIDERNO DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3790
Mailing Address - Country:US
Mailing Address - Phone:314-630-5975
Mailing Address - Fax:
Practice Address - Street 1:11707 W AIRPORT BLVD
Practice Address - Street 2:SUITE # 102
Practice Address - City:MEADOWS PLACE
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:832-674-0005
Practice Address - Fax:866-331-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental