Provider Demographics
NPI:1134501992
Name:KK SMILES ASSOCIATES PLLC
Entity Type:Organization
Organization Name:KK SMILES ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYUYRKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-914-3594
Mailing Address - Street 1:900 PECAN ST E
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-8048
Mailing Address - Country:US
Mailing Address - Phone:817-914-3594
Mailing Address - Fax:
Practice Address - Street 1:900 PECAN ST E
Practice Address - Street 2:SUITE 500
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-8048
Practice Address - Country:US
Practice Address - Phone:817-914-3594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29242261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental