First Smiles Children'S Dentistry
LBN: Acree-Isenhower Dental Coporation
First Smiles Children'S Dentistry is an health care organization with primary practice located at 1801 Tully Road Suite B, Modesto CA 95350. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Acree-Isenhower Dental Coporation can be contacted via phone (209) 343-3500, or through Acree, Corey Robert via phone (209) 529-0674.
Contact Information
Primary practice address
1801 Tully Road Suite B
Modesto CA 95350
Phone: (209) 343-3500
Fax: (209) 527-1971
Website:
Authorized official contact:
Name: Acree, Corey Robert Doctor of Dental Surgery (DDS)
Phone: (209) 529-0674
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 48870 | California |
Dental Providers / Pediatric Dentistry | 1223P0221X | 48880 | California |
Profile Details
NPI number | 1427021757 |
---|---|
LBN Legal business name | Acree-Isenhower Dental Coporation |
DBA Doing business as | First Smiles Children'S Dentistry |
Authorized official | Acree, Corey Robert Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Aug 5th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427021757 | NPPES |
California | Other | 20789 | DENTAL LICENSE |
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