Provider Demographics
NPI:1457910226
Name:SMILEY DENTAL MORGAN
Entity Type:Organization
Organization Name:SMILEY DENTAL MORGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMERICO
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ JR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-466-1400
Mailing Address - Street 1:PO BOX 450758
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75045-0758
Mailing Address - Country:US
Mailing Address - Phone:214-466-1400
Mailing Address - Fax:214-367-5896
Practice Address - Street 1:1306 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3348
Practice Address - Country:US
Practice Address - Phone:361-884-6106
Practice Address - Fax:361-884-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty