Provider Demographics
NPI:1174299119
Name:SPRING SMILES, PC
Entity Type:Organization
Organization Name:SPRING SMILES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUNI
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-564-1800
Mailing Address - Street 1:3301 TIDWELL RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-6830
Mailing Address - Country:US
Mailing Address - Phone:832-564-1800
Mailing Address - Fax:832-564-1806
Practice Address - Street 1:7312 LOUETTA RD STE B119
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6176
Practice Address - Country:US
Practice Address - Phone:281-370-3323
Practice Address - Fax:281-305-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty