Provider Demographics
NPI:1811311582
Name:A PLUS SMILES
Entity type:Organization
Organization Name:A PLUS SMILES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:YURI
Authorized Official - Last Name:PRIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-627-3446
Mailing Address - Street 1:4733 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8381
Mailing Address - Country:US
Mailing Address - Phone:956-627-3446
Mailing Address - Fax:956-627-3930
Practice Address - Street 1:4733 S. JAKCKSON RD.
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-627-3446
Practice Address - Fax:956-627-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty