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SPARKLE SMILES PLLC NPI 1508313909


NPI Information

NPI: 1508313909
Provider Name: SPARKLE SMILES PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
110 CHURCH ST
MARLIN, TX
ZIP 76661
Phone: (732) 423-4336
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SPARKLE SMILES PLLC is a general practice dentist in Marlin, 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. SPARKLE SMILES PLLC NPI is 1508313909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 CHURCH ST
MARLIN, TX
ZIP 76661
Phone: (732) 423-4336

The provider's authorized official is Pavan Chiluvoju .
The authorized official title is Owner Dentist and has the following contact phone number (732) 423-4336.

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.


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
11223G0001XDentistGeneral Practice28728TEXASYes

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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