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Contact Information

28 SMILE, LLC
11403 BARKER CYPRESS RD STE 1300
CYPRESS, TX77433-5425
 Phone: 281-721-9575
 Fax: 281-721-9594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for 28 SMILE LLC · (Female)

NPI # 1417413451
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2019
Last updated 10/10/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 3735631
  • Other 1619424561 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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