# ALI OBEIDI DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033997630
- **Authorized official:** DR. ALI OBEIDI DDS (PRESIDENT)
- **Authorized official phone:** (832) 345-3451

## Contact information

- **Practice address:** 11507 OLYMPIA DR, HOUSTON, TX 77077-6421
- **Practice address phone:** (281) 610-0284
- **Mailing address:** 11507 OLYMPIA DR, HOUSTON, TX 77077-6421
- **Mailing address phone:** (281) 610-0284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 09/15/2023
- **Last updated:** 09/15/2023