Provider Demographics
NPI:1760769632
Name:HHK SMILE DENTAL INC
Entity Type:Organization
Organization Name:HHK SMILE DENTAL INC
Other - Org Name:1ST SMILE DENTAL CARE OF IRVING
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-736-3777
Mailing Address - Street 1:3626 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE #235
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3643
Mailing Address - Country:US
Mailing Address - Phone:214-736-3777
Mailing Address - Fax:972-416-2722
Practice Address - Street 1:3626 N MACARTHUR BLVD
Practice Address - Street 2:SUITE #235
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3643
Practice Address - Country:US
Practice Address - Phone:214-736-3777
Practice Address - Fax:972-416-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty