Provider Demographics
NPI:1316572233
Name:INSTASMILES LLC
Entity Type:Organization
Organization Name:INSTASMILES LLC
Other - Org Name:INSTASMILES DENTISTRY PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IFFATH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:BILLING
Authorized Official - Phone:469-498-4445
Mailing Address - Street 1:150 BRAND ROAD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3734
Mailing Address - Country:US
Mailing Address - Phone:469-498-4445
Mailing Address - Fax:
Practice Address - Street 1:150 BRAND ROAD
Practice Address - Street 2:SUITE 800
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3734
Practice Address - Country:US
Practice Address - Phone:469-498-4445
Practice Address - Fax:469-498-4447
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTASMILES DENTISTRY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-11
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty