Smile Island Dental, Pllc in Plano - Pediatric Dentistry

Smile Island Dental, Pllc - NPI 1700045861

Smile Island Dental, Pllc is a Pediatric Dentistry in Plano, Texas. Smile Island Dental, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Smile Island Dental, Pllc is 1700045861. The last update date is 2012-02-09.

Smile Island Dental, Pllc's current location address is 6513 Preston Rd, Plano, Texas. You can contact this provider via phone number 9723786762 and fax number 9723786771. The mailing address for Smile Island Dental, Pllc is 6513 Preston Rd, Plano, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Smile Island Dental, Pllc
Address 6513 Preston Rd, Plano, Texas
Phone Number 9723786762
Fax Number 9723786771
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Weems Jennifer
Telephone Number 9723786762

NPI Number Detail

NPI Number 1700045861
Provider Enumeration Date 2008-06-04
Last Updated Date 2012-02-09

Provider Mailing Address Detail

Address 6513 Preston Rd
City Plano
State Texas (TX)
Post Code 750242688
Phone Number 9723786762
Fax Number 9723786771

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 16742
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1583841-01 TX --

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FAQs about Smile Island Dental, Pllc

What is the unique identifier code issued to Smile Island Dental, Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Smile Island Dental, Pllc has been assigned the NPI (National Provider Identifier) 1700045861. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Smile Island Dental, Pllc is physically located?

The Smile Island Dental, Pllc is physically situated at the following address: 6513 Preston Rd, Plano, TX, 750242688.

What is Smile Island Dental, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Smile Island Dental, Pllc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did Smile Island Dental, Pllc receive its 1700045861 assignment from the Centers for Medicare & Medicaid Services?

The Smile Island Dental, Pllc was assigned its 1700045861 on 2008-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Smile Island Dental, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Smile Island Dental, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-09.

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