# HUMBLE 9701, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Charm Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467059501
- **Authorized official:** KRUPA PATEL DDS (MANAGER)
- **Authorized official phone:** (402) 216-6693

## Contact information

- **Practice address:** 9701 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4636
- **Practice address phone:** (832) 384-9767
- **Practice address fax:** (832) 827-6813
- **Mailing address:** 9701 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4636
- **Mailing address phone:** (832) 384-9767
- **Mailing address fax:** (832) 827-6813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 11/30/2022