IndividualActive
Alireza Mehmandoost, DDS
NPI 1174256846 · General Practice Dentistry · Waller, TX
Provider details
- NPI number
- 1174256846
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 39383 (TX)
Specialties & taxonomies
Dental Providers
Practice location
31315 Fm 2920 Rd Ste 16a
Waller, TX 77484-8022
Phone: (936) 372-2673
Fax: (936) 372-5199
Approximate (ZIP-level) locationGet directions
Mailing address
6215 Canyon Run Ct
Katy, TX 77450-7098
Additional practice locations (1)
- 9400 Westheimer Rd Ste 1Houston, TX 77063-3468Phone: (713) 497-1163
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.