Smileup Dentistry, PLLC
Organization Active NPI Dentist · Bartonville, TX
NPI 1508522152 · NPPES record last updated Nov 9, 2021
Key facts
- NPI
- 1508522152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- SMILEUP DENTISTRY, PLLC
- Practice address
- 300 FM 407 E # 300
Bartonville, TX 76226-5913 - Phone
- (940) 333-3234
- NPI assigned
- Nov 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Anne Demmy
- Title
- Credentialing Specialist
- Phone
- (918) 998-0996
National Provider Directory
Locations
300 FM 407 E
#300
Bartonville, TX 76226
Phone (940) 333-3234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
300 FM 407 E # 300
Bartonville, TX 76226-5913
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone (918) 998-0996
Other providers in Bartonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.