| Everest Smile Care, Llc | |
|
11626 T C Jester Blvd Ste 400 Houston TX 77067-1323 | |
| (346) 316-1920 | |
| (832) 286-1406 |
| Full Name | Everest Smile Care, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11626 T C Jester Blvd Ste 400, Houston, Texas |
| Authorized Official Name and Position | Lean Henley (OPERATION MANAGER) |
| Authorized Official Contact | 3463161920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everest Smile Care, Llc 11626 T C Jester Blvd Ste 400 Houston TX 77067-1323 Ph: (346) 316-1920 | Everest Smile Care, Llc 11626 T C Jester Blvd Ste 400 Houston TX 77067-1323 Ph: (346) 316-1920 |
| NPI Number | 1558093146 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558093146 | NPI | - | NPPES |
| 85-1639972 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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