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:
Map and Directions
Authorized official contact:
Name: Acree, Corey Robert Doctor of Dental Surgery (DDS)
Phone: (209) 529-0674

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427021757 NPPES
California Other 20789 DENTAL LICENSE

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