Provider Demographics
NPI:1467704726
Name:SMILE EFFECTS DENTAL & ORTHODONTICS
Entity Type:Organization
Organization Name:SMILE EFFECTS DENTAL & ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KANEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-295-6805
Mailing Address - Street 1:6501 DALROCK RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2045
Mailing Address - Country:US
Mailing Address - Phone:972-463-8338
Mailing Address - Fax:
Practice Address - Street 1:6501 DALROCK RD
Practice Address - Street 2:SUITE 108
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-2045
Practice Address - Country:US
Practice Address - Phone:972-463-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20062261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental