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NPI Code Detail

MEDICARE: UR SMILE DENTAL ON HWY 6 PLLC

MEDICARE: UR SMILE DENTAL ON HWY 6 PLLC
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
1122300000XDentist

General Provider Information

NPI Number : 1194432625
Entity Type Code : Organization
Provider Name (Legal Business Name) : UR SMILE DENTAL ON HWY 6 PLLC
Provider Business Mailing Address
First Line : 19875 SOUTHWEST FWY STE 120
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3514
Country : US
Telephone Number : 832-546-6363
Fax Number :
Provider Business Practice Location Address
First Line : 4835 HIGHWAY 6 N
Second Line :
City : HOUSTON
State : TX
Zip : 77084-2716
Country : US
Telephone Number : 281-463-9324
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : DR. PRASHANTH RAVI
Credential : DMD
Telephone Number : 328-546-6363
Provider Enumeration Date : 11/03/2022
Last Update Date : 11/03/2022

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Directions to “UR SMILE DENTAL ON HWY 6 PLLC ” Practice Location

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