Provider Demographics
NPI:1194977850
Name:BEST SMILE DENTAL, PC
Entity type:Organization
Organization Name:BEST SMILE DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-951-9717
Mailing Address - Street 1:9540 GARLAND RD
Mailing Address - Street 2:SUITE #378
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-5004
Mailing Address - Country:US
Mailing Address - Phone:214-327-1888
Mailing Address - Fax:214-327-1188
Practice Address - Street 1:9540 GARLAND RD
Practice Address - Street 2:SUITE #378
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-5004
Practice Address - Country:US
Practice Address - Phone:214-327-1888
Practice Address - Fax:214-327-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty