PURE SMILES ORTHODONTICS PLLC NPI 1578876520

NPI Information

NPI: 1578876520
Provider Name: PURE SMILES ORTHODONTICS PLLC

Doing Business As: PURE SMILES ORTHODONTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4301 W WILLIAM CANNON DR
BUILDING E, SUITE 300
AUSTIN, TX
ZIP 78749
Phone: (512) 522-5446
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PURE SMILES ORTHODONTICS PLLC is a dental clinic center in Austin, TX. PURE SMILES ORTHODONTICS PLLC NPI is 1578876520. The provider is registered as an organization entity type.
The provider Is Doing Business As Pure Smiles Orthodontics.

The provider's business location address is:

4301 W WILLIAM CANNON DR
BUILDING E, SUITE 300
AUSTIN, TX
ZIP 78749-473
Phone: (512) 522-5446

The provider's authorized official is Silvana Gonzalez Manzur .
The authorized official title is Orthodontist and has the following contact phone number (512) 522-5446.

The enumeration date for this NPI number is 7/20/2010 and was last updated on 7/20/2010.

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
1	261QD0000X	Clinic/Center	Dental	23810	TEXAS	Yes

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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