Provider Demographics
NPI:1366718181
Name:BAIRI, ARCHANA (DDS)
Entity type:Individual
Prefix:
First Name:ARCHANA
Middle Name:
Last Name:BAIRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4855 MAGNOLIA COVE DR
Mailing Address - Street 2:428
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2283
Mailing Address - Country:US
Mailing Address - Phone:646-717-4346
Mailing Address - Fax:
Practice Address - Street 1:9809 FM 1960 BYPASS RD W
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3519
Practice Address - Country:US
Practice Address - Phone:281-446-3855
Practice Address - Fax:281-446-1650
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice