Smile Island Dental, Pllc

LBN: Smile Island Dental, Pllc
Smile Island Dental, Pllc is an health care organization with primary practice located at 6513 Preston Rd Suite 500, Plano TX 75024-2688. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Smile Island Dental, Pllc can be contacted via phone (972) 378-6762, or through Weems, Jennifer via phone (972) 378-6762.

Contact Information

Primary practice address
6513 Preston Rd Suite 500 Plano TX 75024-2688
Fax: (972) 378-6771
Website:
Authorized official contact:
Name: Weems, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 16742 Texas

Profile Details

NPI number 1700045861
LBN Legal business name Smile Island Dental, Pllc
DBA Doing business as
Authorized official Weems, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Feb 9th, 2012 - about 12 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 1700045861 NPPES
Texas MEDICAID 1583841-01

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