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Contact Information

A BRIGHT SMILE 4 KIDS, LLC
3606 S ZARZAMORA ST
SAN ANTONIO, TX78225-1359
 Phone: 210-927-3000
 Fax: 210-332-5190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A BRIGHT SMILE 4 KIDS, LLC

NPI Number 1841598257
LBN Legal business name A BRIGHT SMILE 4 KIDS, LLC
Authorized official CHRISTOPHER WATKINS - (OWNER DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2011
Last updated 03/09/2011 - About 15 years ago
Identifiers
TX License # 25349
TX Medicaid 1184786147
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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