Provider Demographics
NPI:1285061309
Name:ALL STAR SMILES
Entity type:Organization
Organization Name:ALL STAR SMILES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALBEER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-446-1111
Mailing Address - Street 1:3044 OLD DENTON RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5016
Mailing Address - Country:US
Mailing Address - Phone:972-446-1111
Mailing Address - Fax:
Practice Address - Street 1:3044 OLD DENTON RD
Practice Address - Street 2:SUITE 126
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5016
Practice Address - Country:US
Practice Address - Phone:972-446-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty