Provider Demographics
NPI:1871324160
Name:DEPARTMENT OF SMILES PLLC
Entity type:Organization
Organization Name:DEPARTMENT OF SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SNEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:XAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-633-7730
Mailing Address - Street 1:6506 DALLERTON ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6699
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9250 BROADWAY
Practice Address - Street 2:SUITE 170
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:425-633-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty