| Smile Bar Professional Corporation | |
|
9901 Brodie Ln Ste 130 Austin TX 78748-5889 | |
| (737) 204-7208 | |
| Not Available |
| Full Name | Smile Bar Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9901 Brodie Ln Ste 130, Austin, Texas |
| Authorized Official Name and Position | Nichole Kostiuk (DENTIST) |
| Authorized Official Contact | 9418757002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Bar Professional Corporation 7329 Cordoba Dr Austin TX 78724-6251 Ph: (941) 875-7002 | Smile Bar Professional Corporation 9901 Brodie Ln Ste 130 Austin TX 78748-5889 Ph: (737) 204-7208 |
| NPI Number | 1033965009 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033965009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |