# SMILE REHAB CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Rehab Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154043867
- **Authorized official:** HANIFE CANAN BAYRAKTAROGLU DDS (OWNER)
- **Authorized official phone:** (737) 747-2221

## Contact information

- **Practice address:** 245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
- **Practice address phone:** (737) 747-2221
- **Practice address fax:** (737) 273-8762
- **Mailing address:** 245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
- **Mailing address phone:** (737) 747-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 09/19/2022
- **Last updated:** 09/19/2022