Provider Demographics
NPI:1427482108
Name:XAVIER, SNEHA (DMD)
Entity type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:XAVIER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6506 DALLERTON ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6699
Mailing Address - Country:US
Mailing Address - Phone:425-633-7730
Mailing Address - Fax:
Practice Address - Street 1:1635 ELDRIDGE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2579
Practice Address - Country:US
Practice Address - Phone:281-496-0624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist