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KELLER SMILES LLC NPI 1104478635


NPI Information

NPI: 1104478635
Provider Name: KELLER SMILES LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1540 KELLER PKWY STE 140
KELLER, TX
ZIP 76248
Phone: (682) 593-0993
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KELLER SMILES LLC is a dental clinic center in Keller, TX. KELLER SMILES LLC NPI is 1104478635. The provider is registered as an organization entity type.

The provider's business location address is:

1540 KELLER PKWY STE 140
KELLER, TX
ZIP 76248-685
Phone: (682) 593-0993
Fax: (682) 593-0995

The provider's authorized official is Jesus Alvarado .
The authorized official title is Office Manager and has the following contact phone number (682) 593-0993.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 7/15/2019.


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
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: 11/14/2023

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