| Confident Smile Studio | |
|
6780 Abrams Rd Ste 111 Dallas TX 75231-0229 | |
| (214) 888-6726 | |
| Not Available |
| Full Name | Confident Smile Studio |
|---|---|
| Speciality | Clinic/Center |
| Location | 6780 Abrams Rd Ste 111, Dallas, Texas |
| Authorized Official Name and Position | Kenechukwu Dijon Nwankwo (CEO) |
| Authorized Official Contact | 9728168861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confident Smile Studio 2362 Oldbridge Dr Dallas TX 75228-5360 Ph: (972) 816-8861 | Confident Smile Studio 6780 Abrams Rd Ste 111 Dallas TX 75231-0229 Ph: (214) 888-6726 |
| NPI Number | 1427795368 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 08/12/2022 |
| Medicare PECOS PAC ID | 3678922358 |
|---|---|
| Medicare Enrollment ID | O20231206002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427795368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Kenechukwu Dijon Nwankwo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356875462 PECOS PAC ID: 0446609226 Enrollment ID: I20231206001884 |
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