Provider Demographics
NPI:1972930220
Name:INFINITY SMILE CENTER PLLC
Entity type:Organization
Organization Name:INFINITY SMILE CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:N
Authorized Official - Last Name:ASHITEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-501-6507
Mailing Address - Street 1:755 E STATE HIGHWAY 121
Mailing Address - Street 2:SUITE A200
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-4107
Mailing Address - Country:US
Mailing Address - Phone:817-501-6507
Mailing Address - Fax:
Practice Address - Street 1:755 E STATE HIGHWAY 121
Practice Address - Street 2:SUITE A200
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-4107
Practice Address - Country:US
Practice Address - Phone:817-501-6507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty