28 SMILE LLC NPI 1417413451

NPI Information

NPI: 1417413451
Provider Name: 28 SMILE, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11403 BARKER CYPRESS RD STE 1300
CYPRESS, TX
ZIP 77433
Phone: (281) 721-9575
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28 SMILE, LLC is a dental clinic center in Cypress, TX. 28 SMILE, LLC NPI is 1417413451. The provider is registered as an organization entity type.

The provider's business location address is:

11403 BARKER CYPRESS RD STE 1300
CYPRESS, TX
ZIP 77433-425
Phone: (281) 721-9575
Fax: (281) 721-9594

The provider's authorized official is Peter Tran .
The authorized official title is Doctor/owner and has the following contact phone number (281) 721-9575.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/14/2019.

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
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1619424561	OTHER		NPI
2	3735631	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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