CLEAR SMILE DOCS PLLC NPI 1578045969

NPI Information

  • NPI: 1578045969
  • Provider Name: CLEAR SMILE DOCS, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: CLEAR SMILES
  • Address: 1919 MCKINNEY AVE
    DALLAS, TX
    ZIP 75201
  • Phone: (469) 460-5915

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NPI Details

CLEAR SMILE DOCS, PLLC is a dental clinic center in Dallas, TX. CLEAR SMILE DOCS, PLLC NPI is 1578045969. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Smiles.

The provider's business location address is:

1919 MCKINNEY AVE
DALLAS, TX
ZIP 75201-753
Phone: (469) 460-5915

The provider's authorized official is Timothy Vanderlick .
The authorized official title is Managing Partner and has the following contact phone number (469) 460-5915.

The enumeration date for this NPI number is 8/31/2018 and was last updated on 8/31/2018.

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/CenterDental13073TEXASYes

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: 3/30/2025

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