Provider Demographics
NPI:1891527388
Name:ELITE DENTAL PEDIATRICS
Entity type:Organization
Organization Name:ELITE DENTAL PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-991-8475
Mailing Address - Street 1:8821 WESTHEIMER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3625
Mailing Address - Country:US
Mailing Address - Phone:832-991-8475
Mailing Address - Fax:
Practice Address - Street 1:8821 WESTHEIMER RD STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3625
Practice Address - Country:US
Practice Address - Phone:832-991-8475
Practice Address - Fax:346-867-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty