Provider Demographics
NPI:1699588632
Name:P.S DENTISTRY, PLLC
Entity type:Organization
Organization Name:P.S DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:
Authorized Official - First Name:RADHWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL SINAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-848-4824
Mailing Address - Street 1:11210 PUCKETT RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0237
Mailing Address - Country:US
Mailing Address - Phone:847-848-4824
Mailing Address - Fax:
Practice Address - Street 1:2506 JORDAN RANCH BLVD.
Practice Address - Street 2:SUITE 6
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423
Practice Address - Country:US
Practice Address - Phone:847-848-4824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty