Smile Embassy, Pllc.

LBN: Smile Embassy, Pllc.
Smile Embassy, Pllc. is an health care organization with primary practice located at 517 Sunset Ave , Dallas TX 75208-4702. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Smile Embassy, Pllc. can be contacted via phone (214) 943-2400, or through Villarreal, Eliud via phone (214) 943-2400.

Contact Information

Primary practice address
517 Sunset Ave Dallas TX 75208-4702
Phone: (214) 943-2400
Fax: (214) 943-2363
Website:
Map and Directions
Authorized official contact:
Name: Villarreal, Eliud
Phone: (214) 943-2400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 21771 Texas

Profile Details

NPI number 1275998312
LBN Legal business name Smile Embassy, Pllc.
DBA Doing business as
Authorized official Villarreal, Eliud
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 9 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 1275998312 NPPES
Texas MEDICAID 166045805

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