IndividualActive
Azadeh Motekallem, DDS, MSD
NPI 1114123692 · Pediatric Dentistry · Bellaire, TX
Provider details
- NPI number
- 1114123692
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24170 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
549 Lupin St
Bellaire, TX 77401-5023
Phone: (937) 554-0639
Approximate (ZIP-level) locationGet directions
Mailing address
549 Lupin Street
Bellaire, TX 77401
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.