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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

NPI # 1417413451
LBN Legal business name 28 SMILE, LLC
Authorized official PETER TRAN - (DOCTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2019
Last updated 10/10/2024 - More than a year ago
Identifiers
TX Medicaid 3735631
Other 1619424561 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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