Smith Dental Sleep Medicine Pllc | |
308 S Bryan Rd Mission TX 78572-6222 | |
(956) 739-9504 | |
Not Available |
Full Name | Smith Dental Sleep Medicine Pllc |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 308 S Bryan Rd, Mission, Texas |
Authorized Official Name and Position | Andrew Smith (OWNER) |
Authorized Official Contact | 9567399504 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Smith Dental Sleep Medicine Pllc 308 S Bryan Rd Mission TX 78572-6222 Ph: (956) 739-9504 | Smith Dental Sleep Medicine Pllc 308 S Bryan Rd Mission TX 78572-6222 Ph: (956) 739-9504 |
NPI Number | 1942089826 |
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Provider Enumeration Date | 09/28/2023 |
Last Update Date | 09/28/2023 |
Medicare PECOS PAC ID | 0345690335 |
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Medicare Enrollment ID | O20240103002948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942089826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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