Provider Demographics
NPI:1831513019
Name:MADE YA SMILE SIENNA PLANTATION PLLC
Entity type:Organization
Organization Name:MADE YA SMILE SIENNA PLANTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KESNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-566-2721
Mailing Address - Street 1:9839 HIGHWAY 6 STE A
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4771
Mailing Address - Country:US
Mailing Address - Phone:281-265-1111
Mailing Address - Fax:
Practice Address - Street 1:9839 HIGHWAY 6 STE A
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4771
Practice Address - Country:US
Practice Address - Phone:281-265-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty