MODERN AESTHETICS DENTAL P.A. (NPI# 1548542244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548542244 |
| Entity Type | Organization |
| Organization Name | MODERN AESTHETICS DENTAL P.A. |
| Other Organization Name | MODERN AESTHETICS DENTAL CENTRE |
| Practice Address |
25201 Kuykendahl Rd 450 & 500 Tomball TX 77375-3351 |
| Mailing Address |
3410 Louisiana St 3309 Houston TX 77002-9500 |
| Practice Telephone | 5049099434 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | DR. MICHAEL P CIMINO (CEO) |
| Authorized Official Telephone | 5049099434 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24594 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Modern Aesthetics Dental Centre | Doing Business As Name - Organization |
| Street Address |
25201 KUYKENDAHL RD 450 & 500 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920476 | Nssmiles Pllc | Dentist | 24445 Tomball Pkwy, Tomball, TX 77375-8214 | 2019-12-27 |
| 1386191435 | Christina Ho | Dentist | 28602 Tomball Parkway, Ste B, Tomball, TX 77375 | 2016-09-07 |
| 1851769111 | Louis Russell Jr. | Dentist | 29210 Quinn Rd, Tomball, TX 77375-4486 | 2015-09-03 |
| 1134500317 | Lorraine Bautista | Dentist | 24179 State Highway 249, Tomball, TX 77375-8298 | 2015-06-14 |
| 1851781397 | Tomball Smiles Dentistry, PC | Dentist | 28602 Tomball Pkwy, B, Tomball, TX 77375-4204 | 2015-02-04 |
| 1316233901 | Yoshinori Henry Kamaya | Dentist | 24036 Kuykendahl Rd Ste 300, Tomball, TX 77375-5374 | 2011-06-22 |
| 1902127020 | Nicholas Camarata | Dentist | 1113 Alma St, Tomball, TX 77375-4518 | 2010-06-14 |
| 1922235621 | Ginger Sue Mcelravy | Dentist | 24504 Kuykendahl Rd., Suite 400, Tomball, TX 77375 | 2009-06-19 |
| 1699921825 | Carl M Hickman Dds Pa | Dentist | 15731 Fm 2920, Tomball, TX 77377 | 2008-08-07 |
| 1205097821 | Amy Elizabeth Mohr | Dentist | 15731 Fm 2920 Rd, Tomball, TX 77377-6149 | 2008-06-17 |
| Find all providers in TOMBALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.