Organization
EVEREST SMILE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAN HENLEY (OPERATION MANAGER)
(346) 316-1920
Entity
Organization
Contact information
Practice address
11626 T C JESTER BLVD STE 400, HOUSTON, TX 77067-1323
(346) 316-1920
(832) 286-1406
Mailing address
11626 T C JESTER BLVD STE 400, HOUSTON, TX 77067-1323
(346) 316-1920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-1639972
—
TX
Enumeration date
06/30/2022
Last updated
06/30/2022
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