Provider Demographics
NPI:1669647335
Name:ANNA M. MUNNE, D.D.S., P.A.
Entity type:Organization
Organization Name:ANNA M. MUNNE, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS, MS
Authorized Official - Phone:713-795-4666
Mailing Address - Street 1:4817 MAIN
Mailing Address - Street 2:STE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9700
Mailing Address - Country:US
Mailing Address - Phone:713-795-4666
Mailing Address - Fax:713-795-5514
Practice Address - Street 1:4817 MAIN ST
Practice Address - Street 2:200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9700
Practice Address - Country:US
Practice Address - Phone:713-795-4666
Practice Address - Fax:713-795-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty