# 28 SMILE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alder Trails Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417413451
- **Authorized official:** DR. PETER TRAN DMD (DOCTOR/OWNER)
- **Authorized official phone:** (281) 721-9575

## Contact information

- **Practice address:** 11403 BARKER CYPRESS RD STE 1300, CYPRESS, TX 77433-5425
- **Practice address phone:** (281) 721-9575
- **Practice address fax:** (281) 721-9594
- **Mailing address:** 11403 BARKER CYPRESS RD STE 1300, CYPRESS, TX 77433-5425
- **Mailing address phone:** (281) 721-9575
- **Mailing address fax:** (281) 721-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 10/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619424561 | NPI | — |
| 05 | — | 3735631 | — | TX |