Provider Demographics
NPI:1023867538
Name:KAM DENTAL HUMBLE PLLC
Entity type:Organization
Organization Name:KAM DENTAL HUMBLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:IRONDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:802-440-6720
Mailing Address - Street 1:6920 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9646
Mailing Address - Country:US
Mailing Address - Phone:802-440-6720
Mailing Address - Fax:
Practice Address - Street 1:18477 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3517
Practice Address - Country:US
Practice Address - Phone:802-440-6720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty