SMILE BAR PROFESSIONAL CORPORATION NPI 1033965009

NPI Information

  • NPI: 1033965009
  • Provider Name: SMILE BAR PROFESSIONAL CORPORATION
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 9901 BRODIE LN STE 130
    AUSTIN, TX
    ZIP 78748
  • Phone: (737) 204-7208

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NPI Details

SMILE BAR PROFESSIONAL CORPORATION is a dental clinic center in Austin, TX. SMILE BAR PROFESSIONAL CORPORATION NPI is 1033965009. The provider is registered as an organization entity type.

The provider's business location address is:

9901 BRODIE LN STE 130
AUSTIN, TX
ZIP 78748-889
Phone: (737) 204-7208

The provider's authorized official is Nichole Kostiuk .
The authorized official title is Dentist and has the following contact phone number (941) 875-7002.

The enumeration date for this NPI number is 4/29/2024 and was last updated on 4/29/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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