Amber Ather, DDS
Individual provider Active NPI General Practice Dentistry · Port Lavaca, TX
NPI 1689033797 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1689033797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 31679 (TX)
- Practice address
- 204 State Highway 35 S
Smile Experts PLLC
Port Lavaca, TX 77979-2404 - Phone
- (361) 482-0458
- NPI assigned
- Feb 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31679 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Experts PLLC | General Practice | Past | Accepting new patients |
| Smile Experts-Port Lavaca PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31679 | TX | Yes |
Addresses
Primary practice location
204 State Highway 35 S
Smile Experts PLLC
Port Lavaca, TX 77979-2404
Mailing address
909 Walnut St
#2205
Kansas City, MO 64106-2038
Phone (720) 550-1575
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All providers in Port Lavaca, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2016. 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.