Provider Demographics
NPI:1225751134
Name:THE SMILE CENTER AT PEARLAND
Entity Type:Organization
Organization Name:THE SMILE CENTER AT PEARLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBA
Authorized Official - Middle Name:N
Authorized Official - Last Name:DUGARTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:706-255-1030
Mailing Address - Street 1:1799 KIRBY DR STE 170
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5625
Mailing Address - Country:US
Mailing Address - Phone:706-255-1030
Mailing Address - Fax:
Practice Address - Street 1:1799 KIRBY DR STE 170
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5625
Practice Address - Country:US
Practice Address - Phone:706-255-1030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty