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 |
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Address | 1002 N Loop 336 W, Conroe, Texas |
Phone Number | 9367603050 |
Fax Number | 9364413068 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Osamor Kenneth |
Credentials | DDS |
Telephone Number | 9367603050 |
NPI Number Detail
NPI Number | 1265648984 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2021-02-01 |
Provider Mailing Address Detail
Address | 1002 N Loop 336 W |
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City | Conroe |
State | Texas (TX) |
Post Code | 773011829 |
Phone Number | 9367603050 |
Fax Number | 9364413068 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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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 |
Post Comment/ Review Below
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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