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NPI Code Detail

MEDICARE: WOODLANDS SMILES DENTISTRY AND ORTHODONTICS, PC

MEDICARE: WOODLANDS SMILES DENTISTRY AND ORTHODONTICS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1154678787
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODLANDS SMILES DENTISTRY AND ORTHODONTICS, PC
Provider Business Mailing Address
First Line : 17000 RED HILL AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5626
Country : US
Telephone Number : 714-845-8890
Fax Number : 949-474-1495
Provider Business Practice Location Address
First Line : 3600 FM 1488 RD STE 90
Second Line :
City : CONROE
State : TX
Zip : 77384-3818
Country : US
Telephone Number : 936-271-5440
Fax Number : 936-271-5441
Authorized Official
Title or Position : OWNER/ DDS
Name : JOHN BARNES
Credential : DDS
Telephone Number : 936-271-5440
Provider Enumeration Date : 08/14/2012
Last Update Date : 11/12/2013

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Directions to “WOODLANDS SMILES DENTISTRY AND ORTHODONTICS, PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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