Provider Demographics
NPI:1134921711
Name:SMILE INNOVATIONS PLLC
Entity type:Organization
Organization Name:SMILE INNOVATIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANCIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-983-9099
Mailing Address - Street 1:1511 E NOLANA LOOP STE 140
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-0745
Mailing Address - Country:US
Mailing Address - Phone:956-983-9099
Mailing Address - Fax:
Practice Address - Street 1:1511 E NOLANA LOOP STE 140
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-0745
Practice Address - Country:US
Practice Address - Phone:956-983-9099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental