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Organization
WEBSTER DENTAL ASSOCIATES
Active
Organization
WEBSTER DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN EVANS SMITH JR. DDS (OWNER)
(281) 280-8111
Entity
Organization
Contact information
Practice address
17240 MILL FOREST LN, STE B, WEBSTER, TX 77598-4366
(281) 280-8111
(281) 280-8525
Mailing address
17240 MILL FOREST LN, STE B, WEBSTER, TX 77598-4366
(281) 280-8111
(281) 280-8525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121808
UNITED CONCORDIA
—
01
—
84D541
BCBS
TX
01
—
TX0D15730
BCBS
TX
Enumeration date
09/12/2006
Last updated
08/22/2020
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