| Southern Charm Dental | |
|
9701 N Sam Houston Pkwy E Humble TX 77396-4636 | |
| (832) 384-9767 | |
| (832) 827-6813 |
| Full Name | Southern Charm Dental |
|---|---|
| Speciality | Dentist |
| Location | 9701 N Sam Houston Pkwy E, Humble, Texas |
| Authorized Official Name and Position | Krupa Patel (MANAGER) |
| Authorized Official Contact | 4022166693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Charm Dental 9701 N Sam Houston Pkwy E Humble TX 77396-4636 Ph: (832) 384-9767 | Southern Charm Dental 9701 N Sam Houston Pkwy E Humble TX 77396-4636 Ph: (832) 384-9767 |
| NPI Number | 1467059501 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467059501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
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