Individual provider · Type 1 NPI
Azadeh Motekallem, DDS, MSD
Pediatric Dentistry · Bellaire, TX
NPI number
1114123692
Active
Practice location
549 Lupin St
Bellaire, TX 77401-5023
Mailing address
549 Lupin Street
Bellaire, TX 77401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 24170 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | 24170 (TX) |
| Dentist | 122300000X | 2629 (OH) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Bellaire
About NPI 1114123692
Azadeh Motekallem, DDS, MSD's National Provider Identifier is 1114123692, issued on Jun 22, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bellaire, TX. The record was last updated on Aug 3, 2021.