Provider Demographics
NPI:1619350360
Name:CHEWS TO SMILE DENTAL GROUP PLLC
Entity Type:Organization
Organization Name:CHEWS TO SMILE DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-506-7800
Mailing Address - Street 1:4121 FAIRMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3301
Mailing Address - Country:US
Mailing Address - Phone:281-506-7800
Mailing Address - Fax:
Practice Address - Street 1:4121 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3301
Practice Address - Country:US
Practice Address - Phone:281-506-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13539122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty