Provider Demographics
NPI:1679724686
Name:MY HOUSTON DENTISTS, PC
Entity type:Organization
Organization Name:MY HOUSTON DENTISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-759-0500
Mailing Address - Street 1:13977 WESTHEIMER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5387
Mailing Address - Country:US
Mailing Address - Phone:281-759-0500
Mailing Address - Fax:281-558-0968
Practice Address - Street 1:13977 WESTHEIMER RD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5387
Practice Address - Country:US
Practice Address - Phone:281-759-0500
Practice Address - Fax:281-558-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty