Provider Demographics
NPI:1396394391
Name:SMYLE ORTHODONTICS, PLLC
Entity Type:Organization
Organization Name:SMYLE ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-575-7871
Mailing Address - Street 1:3000 JUNEAU DR, CEDAR PARK, TX 78613
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:702-575-7871
Mailing Address - Fax:
Practice Address - Street 1:1025 SENDERO SPRINGS DR STE 110
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-1154
Practice Address - Country:US
Practice Address - Phone:702-575-7871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental