Smile Conroe, Pa in Conroe - General Practice

Smile Conroe, Pa - NPI 1265648984

Smile Conroe, Pa is a General Practice in Conroe, Texas. Smile Conroe, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Smile Conroe, Pa is 1265648984. The last update date is 2021-02-01.

Smile Conroe, Pa's current location address is 1002 N Loop 336 W, Conroe, Texas. You can contact this provider via phone number 9367603050 and fax number 9364413068. The mailing address for Smile Conroe, Pa is 1002 N Loop 336 W, Conroe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Smile Conroe, Pa
Address 1002 N Loop 336 W, Conroe, Texas
Phone Number 9367603050
Fax Number 9364413068
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Osamor Kenneth
Credentials DDS
Telephone Number 9367603050

NPI Number Detail

NPI Number 1265648984
Provider Enumeration Date 2007-05-16
Last Updated Date 2021-02-01

Provider Mailing Address Detail

Address 1002 N Loop 336 W
City Conroe
State Texas (TX)
Post Code 773011829
Phone Number 9367603050
Fax Number 9364413068

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 21886
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
181571401 TX --
181 TX --
21886 TX LICENSE

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FAQs about Smile Conroe, Pa

What is the unique 10-digit identification code assigned to Smile Conroe, Pa by the Centers for Medicare & Medicaid Services?

The Smile Conroe, Pa has been issued the NPI (National Provider Identifier) 1265648984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Smile Conroe, Pa is located?

The Smile Conroe, Pa is situated at the following address: 1002 N Loop 336 W, Conroe, TX, 773011829.

What is Smile Conroe, Pa's area of expertise and its corresponding taxonomy classification?

The Smile Conroe, Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

When did Smile Conroe, Pa receive its 1265648984 assignment?

The Smile Conroe, Pa was assigned its 1265648984 on 2007-05-16, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Smile Conroe, Pa most recently updated or revised?

The details related to Smile Conroe, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-01.

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