Angel Smile Dental Clinic

LBN: Angel Smile Dental Clinic
Angel Smile Dental Clinic is an health care organization with primary practice located at 6909 Hillcroft Suite 1F, Houston TX 77081. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Angel Smile Dental Clinic can be contacted via phone (713) 772-6435, or through Azad, Marjaneh via phone (713) 772-6435.

Contact Information

Primary practice address
6909 Hillcroft Suite 1F Houston TX 77081
Phone: (713) 772-6435
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Azad, Marjaneh Doctor of Dental Surgery (DDS)
Phone: (713) 772-6435

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 19925 Texas

Profile Details

NPI number 1285894717
LBN Legal business name Angel Smile Dental Clinic
DBA Doing business as
Authorized official Azad, Marjaneh Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285894717 NPPES
Texas MEDICAID 161520501

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