Provider Demographics
NPI:1790511079
Name:ACE ENDODONTICS HEIGHTS
Entity type:Organization
Organization Name:ACE ENDODONTICS HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAHRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUMMALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-268-0801
Mailing Address - Street 1:14520 CYPRESS MILL PLACE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:802 YALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-1538
Practice Address - Country:US
Practice Address - Phone:281-886-8792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty