Provider Demographics
NPI:1366061541
Name:THESMILEDOCATX, PLLC
Entity type:Organization
Organization Name:THESMILEDOCATX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-484-0463
Mailing Address - Street 1:1633 HIGHWAY 183 STE 110
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1393
Mailing Address - Country:US
Mailing Address - Phone:512-240-7200
Mailing Address - Fax:512-240-7200
Practice Address - Street 1:1633 HIGHWAY 183 STE 110
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1393
Practice Address - Country:US
Practice Address - Phone:512-240-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental