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SMILETASTIC DENTAL AND ORTHODONTICS NPI 1093261141


NPI Information

NPI: 1093261141
Provider Name: SMILETASTIC DENTAL AND ORTHODONTICS

Doing Business As: BRIGHTERSMILES DENTAL AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2200 AIRPORT FWY
STE 480
BEDFORD, TX
ZIP 76022
Phone: (817) 785-3290
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SMILETASTIC DENTAL AND ORTHODONTICS is a general practice dentist in Bedford, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILETASTIC DENTAL AND ORTHODONTICS NPI is 1093261141. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Brightersmiles Dental And Orthodontics.

The provider's business location address is:

2200 AIRPORT FWY
STE 480
BEDFORD, TX
ZIP 76022-062
Phone: (817) 785-3290
Fax: (682) 292-1554

The provider's authorized official is Richard John Malouf .
The authorized official title is Owner and has the following contact phone number (817) 785-3290.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist16206TEXASNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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