Provider Demographics
NPI:1568069094
Name:KAPADIAS DENTAL SERVICE PLLC
Entity type:Organization
Organization Name:KAPADIAS DENTAL SERVICE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-707-4385
Mailing Address - Street 1:10300 LOUETTA RD STE 132
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2121
Mailing Address - Country:US
Mailing Address - Phone:281-251-7770
Mailing Address - Fax:
Practice Address - Street 1:10300 LOUETTA RD STE 132
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2121
Practice Address - Country:US
Practice Address - Phone:281-251-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3890188-18Medicaid