Smile Center Pa
LBN: Shane Istre Dental Associates
Smile Center Pa is an health care organization with primary practice located at 1144 Airport Blvd #240, Austin TX 78702. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Shane Istre Dental Associates can be contacted via phone (512) 929-7888, or through Istre, Michael Shayne via phone (512) 535-8911.
Contact Information
Primary practice address
1144 Airport Blvd #240
Austin TX 78702
Phone: (512) 929-7888
Fax: (512) 929-8091
Website:
Authorized official contact:
Name: Istre, Michael Shayne Doctor of Dental Surgery (DDS)
Phone: (512) 535-8911
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1144312836 |
|---|---|
| LBN Legal business name | Shane Istre Dental Associates |
| DBA Doing business as | Smile Center Pa |
| Authorized official | Istre, Michael Shayne Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Aug 28th, 2008 - about 16 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 | 1144312836 | NPPES |
| Texas | MEDICAID | 091333701 | |
| Texas | Other | G60109-3 |
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