Provider Demographics
NPI:1033694187
Name:RGT DENTAL CARE
Entity type:Organization
Organization Name:RGT DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:K
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:936-441-4455
Mailing Address - Street 1:402 SIMONTON ST. SUITE 100
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301
Mailing Address - Country:US
Mailing Address - Phone:936-441-4455
Mailing Address - Fax:888-678-1441
Practice Address - Street 1:402 SIMONTON ST. SUITE 100
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301
Practice Address - Country:US
Practice Address - Phone:936-441-4455
Practice Address - Fax:888-678-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty