Provider Demographics
NPI:1366265654
Name:EZZI DENTAL PLLC
Entity type:Organization
Organization Name:EZZI DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HUSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-417-3400
Mailing Address - Street 1:12918 MILL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4723
Mailing Address - Country:US
Mailing Address - Phone:832-794-2176
Mailing Address - Fax:
Practice Address - Street 1:27721 TOMBALL PARKWAY
Practice Address - Street 2:SUITE 600
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-417-3400
Practice Address - Fax:281-789-4153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty