Soteji T Adeuti, DMD
Individual provider Active NPI General Practice Dentistry · Spring, TX
NPI 1811558653 · NPPES record last updated Dec 24, 2021
Key facts
- NPI
- 1811558653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 35424 (TX)
- Practice address
- 22618 Aldine Westfield Rd
Spring, TX 77373-6569 - Phone
- (936) 273-9423
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240327002814 | TX | Order and Referring Only - Dentist |
1355788233 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35424 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adura Dentistry PLLC | Current | Accepting new patients |
Locations
14320 FM 2920 Rd
Ste E
Tomball, TX 77377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35424 | TX | Yes |
Addresses
Primary practice location
22618 Aldine Westfield Rd
Spring, TX 77373-6569
Mailing address
14320 FM 2920 Rd Ste E
Tomball, TX 77377-5572
Other providers in Spring, TX
- Kendra Michelle Adams
- Sherwina Adams
- Alyssa Adamson
- Ismail Olayinka Adesanya
- Ola M Adesanya
- Megan Murphy Adler
- Lucas Oscar Adolph
- Adonai Psychological Services, PA
- Marjorie Rose Adrian
- Advanced Associates in Dermatology, PLLC
All providers in Spring, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.