# ALTUS DENTAL P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1659610020
- **Authorized official:** DR. SOROUSH ESFANDIARI D.D.S (DIRECTOR)
- **Authorized official phone:** (713) 667-9311

## Contact information

- **Practice address:** 4508 GARTH RD, SUITE\#A, BAYTOWN, TX 77521-2154
- **Practice address phone:** (281) 427-5100
- **Mailing address:** 11233 SHADOW CREEK PKWY, SUITE \#313, PEARLAND, TX 77584-7345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20196 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013