Provider Demographics
NPI:1154895092
Name:ENVIABLE SMILES P.C.
Entity type:Organization
Organization Name:ENVIABLE SMILES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UGOCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:325-320-4695
Mailing Address - Street 1:9451 CULLEN BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-3394
Mailing Address - Country:US
Mailing Address - Phone:281-972-4747
Mailing Address - Fax:832-203-5475
Practice Address - Street 1:9451 CULLEN BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-3394
Practice Address - Country:US
Practice Address - Phone:281-972-4747
Practice Address - Fax:832-203-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty