Smilewell | |
555 E Basse Rd San Antonio TX 78209-8353 | |
(210) 988-5555 | |
Not Available |
Full Name | Smilewell |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 555 E Basse Rd, San Antonio, Texas |
Authorized Official Name and Position | Amy B Jackson (OWNER) |
Authorized Official Contact | 2102733604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smilewell 4020 Luz Del Faro San Antonio TX 78261-2021 Ph: (210) 273-3604 | Smilewell 555 E Basse Rd San Antonio TX 78209-8353 Ph: (210) 988-5555 |
NPI Number | 1053167486 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 04/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053167486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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