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NPI Code Detail

MEDICARE: SMILERITE FAMILY DENTISTRY

MEDICARE: SMILERITE FAMILY DENTISTRY
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 Dentistry22498TX

General Provider Information

NPI Number : 1992102396
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMILERITE FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 11909 PRESTON RD
Second Line : 260
City : DALLAS
State : TX
Zip : 75230-2746
Country : US
Telephone Number : 972-233-1906
Fax Number : 972-720-8044
Provider Business Practice Location Address
First Line : 11909 PRESTON RD
Second Line : 260
City : DALLAS
State : TX
Zip : 75230-2746
Country : US
Telephone Number : 972-233-1906
Fax Number : 972-720-8044
Authorized Official
Title or Position : DR
Name : DR. PRAMEELA RANI BHUPATIRAJU
Credential : DMD
Telephone Number : 972-233-1906
Provider Enumeration Date : 12/01/2014
Last Update Date : 12/01/2014

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Directions to “SMILERITE FAMILY DENTISTRY ” Practice Location

Language Start Address Practice Location
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.