Provider Demographics
NPI:1811705411
Name:CLEAN SMILES DDS PLLC
Entity type:Organization
Organization Name:CLEAN SMILES DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:346-266-0053
Mailing Address - Street 1:1313 HOLLAND ST STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-2873
Mailing Address - Country:US
Mailing Address - Phone:346-266-0053
Mailing Address - Fax:346-266-0050
Practice Address - Street 1:1313 HOLLAND ST STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2873
Practice Address - Country:US
Practice Address - Phone:346-266-0053
Practice Address - Fax:346-266-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-28
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty