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OUTREACH FOR SMILES PLLC NPI 1093096059


NPI Information

NPI: 1093096059
Provider Name: OUTREACH FOR SMILES, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4047 STAHL RD STE 1
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 566-8668
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OUTREACH FOR SMILES, PLLC is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. OUTREACH FOR SMILES, PLLC NPI is 1093096059. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4047 STAHL RD STE 1
SAN ANTONIO, TX
ZIP 78217-670
Phone: (210) 566-8668

The provider's authorized official is Dan Marcuse .
The authorized official title is Owner and has the following contact phone number (210) 412-5798.

The enumeration date for this NPI number is 9/5/2011 and was last updated on 9/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice11436TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11760628010OTHERTEXASNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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