Provider Demographics
NPI:1659195295
Name:SMILES ART DENTISTRY PLLC
Entity type:Organization
Organization Name:SMILES ART DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-801-8504
Mailing Address - Street 1:2401 FOUNTAIN VIEW DR STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4819
Mailing Address - Country:US
Mailing Address - Phone:713-266-2265
Mailing Address - Fax:
Practice Address - Street 1:2401 FOUNTAIN VIEW DR STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4819
Practice Address - Country:US
Practice Address - Phone:713-266-2265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty