Provider Demographics
NPI:1730459165
Name:HEBRON SMILES
Entity Type:Organization
Organization Name:HEBRON SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-442-8765
Mailing Address - Street 1:12102 GRAYHAWK BLVD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-5267
Mailing Address - Country:US
Mailing Address - Phone:267-442-8765
Mailing Address - Fax:
Practice Address - Street 1:1745 E HEBRON PKWY
Practice Address - Street 2:120&124
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2143
Practice Address - Country:US
Practice Address - Phone:267-442-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty