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Organization
THE SMILE CLUB DENTISTRY AND ORTHODONTICS PLLC
Active
Organization
THE SMILE CLUB DENTISTRY AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WILLIAMS DMD (OWNER)
(954) 478-9319
Entity
Organization
Contact information
Practice address
6421 W 43RD ST, HOUSTON, TX 77092-4005
(954) 478-9319
Mailing address
777 PRESTON ST APT 30A, HOUSTON, TX 77002-1774
(954) 478-9319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
125J00000X
Dental Therapist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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