Great Expression Smiles
LBN: Great Expression Smiles
Great Expression Smiles is an health care organization with primary practice located at 6426 Meadowbrook Dr , Fort Worth TX 76112-5123. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Great Expression Smiles can be contacted via phone (817) 496-2343, or through Pham, Tri via phone (817) 496-2343.
Contact Information
Primary practice address
6426 Meadowbrook Dr
Fort Worth TX 76112-5123
Phone: (817) 496-2343
Fax: (817) 665-3822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X |
Profile Details
| NPI number | 1235540253 |
|---|---|
| LBN Legal business name | Great Expression Smiles |
| DBA Doing business as | Great Expression Smiles |
| Authorized official | Pham, Tri Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2014 |
| Last updated | May 13th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235540253 | NPPES |
| Texas | MEDICAID | 202009121 |
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Great Expression Smiles
6426 Meadowbrook Dr , Fort Worth TX 76112-5123