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NPI Code Detail

MEDICARE: SMILE RITE BELLAIRE PLLC

MEDICARE: SMILE RITE BELLAIRE 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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1669885067
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMILE RITE BELLAIRE PLLC
Provider Business Mailing Address
First Line : 7014 PETTIGREW DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-6646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5962 RENWICK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2406
Country : US
Telephone Number : 281-452-7483
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOHN NGUYEN
Credential : D.D.S.
Telephone Number : 713-972-4455
Provider Enumeration Date : 06/04/2014
Last Update Date : 06/04/2014

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Directions to “SMILE RITE BELLAIRE PLLC ” Practice Location

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