Provider Demographics
NPI:1790095487
Name:UNITY SMILE ARTISTS, P.C.
Entity Type:Organization
Organization Name:UNITY SMILE ARTISTS, P.C.
Other - Org Name:SPRING BRANCH DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIRO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-365-1204
Mailing Address - Street 1:20475 HWY 46 W
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6146
Mailing Address - Country:US
Mailing Address - Phone:830-438-7444
Mailing Address - Fax:830-438-7112
Practice Address - Street 1:20475 HWY 46 W
Practice Address - Street 2:SUITE 310
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6146
Practice Address - Country:US
Practice Address - Phone:830-438-7444
Practice Address - Fax:830-438-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty