Provider Demographics
NPI:1598309767
Name:SMILE DENTISTRY FOR CHILDREN, INC
Entity Type:Organization
Organization Name:SMILE DENTISTRY FOR CHILDREN, INC
Other - Org Name:RED BALLOON DENTISTRY FOR CHILDREN-LEANDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:512-817-4940
Mailing Address - Street 1:1907 S. US-183
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641
Mailing Address - Country:US
Mailing Address - Phone:512-817-4940
Mailing Address - Fax:512-817-4955
Practice Address - Street 1:1907 S. US-183
Practice Address - Street 2:SUITE 206
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641
Practice Address - Country:US
Practice Address - Phone:512-817-4940
Practice Address - Fax:512-817-4955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE DENTAL ARTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-31
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty