EDUARDO JOSE MONTERO FERNANDEZ (NPI# 1104302777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104302777 |
| Entity Type | Individual |
| Full Name | EDUARDO JOSE MONTERO FERNANDEZ |
| Credential | DMD |
| Practice Address |
3100 Broadway St Ste 101b Houston TX 77017 |
| Mailing Address |
8333 Braesmain Dr Apt 1139 Houston TX 77025-2942 |
| Practice Telephone | 8327671037 |
| Mailing Telephone | 3056065944 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 34321 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34321 | TX | Dental Providers |
| Street Address |
3100 BROADWAY ST STE 101B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659590800 | Mark E. Caranto D.d.s.,p.a | Dentist | 3100 Broadway St Ste 101b, Houston, TX 77017-2338 | 2007-04-25 |
| 1982914958 | F & B Surgical and Cosmetic Dentistry | Dentist | 3100 Broadway St Ste 101b, Houston, TX 77017-2338 | 2010-10-08 |
| 1659583128 | Frank Vidal | Dentist | 3100 Broadway St Ste 101b, Houston, TX 77017-2338 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347991 | Michael Shackelford | Technician | 4007 Meridian, Houston, TX 77017 | 2019-10-10 |
| 1528478039 | Gulf Coast Opportunity Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4115 Galveston Road, Houston, TX 77017 | 2014-05-06 |
| 1871926428 | Children 1st Houston South, LLC | Clinic/Center | 8545 Gulf Fwy, Houston, TX 77017 | 2013-08-19 |
| 1609219146 | Harmony Group, LLC | Community/Behavioral Health | 8485 Gulf Fwy Ste A, Houston, TX 77017 | 2013-04-15 |
| 1407102833 | Abby Medical Supply | Durable Medical Equipment & Medical Supplies | 8503 Gulf Freeway, F, Houston, TX 77017 | 2012-08-03 |
| 1568605848 | Atlantic Avenue, LLC | Home Health | 7925 Grafton Street, Houston, TX 77017 | 2009-04-15 |
| 1447404975 | Joseph Sleiman, Md Pa | Family Medicine | 8221 Gulf Freeway, Suite 400, Houston, TX 77017 | 2008-11-11 |
| 1659535938 | Mark E. Caranto,dds,pa | Dentist | 8221 Gulf Freeway Suite 300, Houston, TX 77017 | 2008-07-15 |
| 1184709289 | Nedith Casquete | Dentist | 3201 Broadway St, Houston, TX 77017 | 2006-10-26 |
| 1275542250 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 8505 Gulf Freeway, Suite F, Houston, TX 77017 | 2006-08-07 |
| Find all providers in zip 77017 | ||||
| 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 |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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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.