| Smiles By Spates, Llc | |
|
215 S Loop 336 W Ste 100 Conroe TX 77304-3362 | |
| (936) 270-1294 | |
| Not Available |
| Full Name | Smiles By Spates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 S Loop 336 W Ste 100, Conroe, Texas |
| Authorized Official Name and Position | Michelle Jacomino-barnes (DIR. OF CREDENTIALING & ENRROLLMENT) |
| Authorized Official Contact | 8002773633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles By Spates, Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Smiles By Spates, Llc 215 S Loop 336 W Ste 100 Conroe TX 77304-3362 Ph: (936) 270-1294 |
| NPI Number | 1750157962 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750157962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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