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ASETHETICA DENTAL PC NPI 1093396749


NPI Information

NPI: 1093396749
Provider Name: ASETHETICA DENTAL, PC

Doing Business As: WYLIE SMILES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2014 N HIGHWAY 78 STE 150
WYLIE, TX
ZIP 75098
Phone: (801) 440-1488
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ASETHETICA DENTAL, PC is a dental clinic center in Wylie, TX. ASETHETICA DENTAL, PC NPI is 1093396749. The provider is registered as an organization entity type.
The provider Is Doing Business As Wylie Smiles.

The provider's business location address is:

2014 N HIGHWAY 78 STE 150
WYLIE, TX
ZIP 75098-091
Phone: (801) 440-1488
Fax: (817) 426-3337

The provider's authorized official is Alekhya Patagarla .
The authorized official title is Dentist and has the following contact phone number (972) 961-1744.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 5/19/2021.


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
1261QD0000XClinic/CenterDentalYes

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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