Provider Demographics
NPI:1073550992
Name:TODAYS SMILE PARTNERSHIP
Entity Type:Organization
Organization Name:TODAYS SMILE PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-625-6565
Mailing Address - Street 1:1592 E COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3113
Mailing Address - Country:US
Mailing Address - Phone:830-625-6565
Mailing Address - Fax:830-626-0299
Practice Address - Street 1:1592 E COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3113
Practice Address - Country:US
Practice Address - Phone:830-625-6565
Practice Address - Fax:830-626-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1625345-01Medicaid