Provider Demographics
NPI:1609105576
Name:SIENNA SMILES PC
Entity Type:Organization
Organization Name:SIENNA SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKENDRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:SAKEENA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-778-3200
Mailing Address - Street 1:9119 HIGHWAY 6
Mailing Address - Street 2:SUITE 260
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4876
Mailing Address - Country:US
Mailing Address - Phone:281-778-3200
Mailing Address - Fax:281-778-3562
Practice Address - Street 1:9119 HIGHWAY 6
Practice Address - Street 2:SUITE 260
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4876
Practice Address - Country:US
Practice Address - Phone:281-778-3200
Practice Address - Fax:281-778-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24294261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental