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VETERANS BOULEVARD FAMILY DENTISTRY PLLC NPI 1891382586


NPI Information

NPI: 1891382586
Provider Name: VETERANS BOULEVARD FAMILY DENTISTRY, PLLC

Doing Business As: SMILE MAGIC OF SAN JUAN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
707 W IH2 UNIT 300
SAN JUAN, TX
ZIP 75238
Phone: (956) 467-5813
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VETERANS BOULEVARD FAMILY DENTISTRY, PLLC is a general practice dentist in San Juan, 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. VETERANS BOULEVARD FAMILY DENTISTRY, PLLC NPI is 1891382586. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Smile Magic Of San Juan.

The provider's business location address is:

707 W IH2 UNIT 300
SAN JUAN, TX
ZIP 75238
Phone: (956) 467-5813

The provider's authorized official is Craig Copeland .
The authorized official title is Owner/dentist and has the following contact phone number (940) 220-7833.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 2/17/2021.


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
11223G0001XDentistGeneral 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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