Organization
SMILERX, PA
Active
Organization
SMILERX, PA
Active
Other names
SmileRx
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER LYNN HURST DDS, MS (OWNER/CEO/PRESIDENT)
(702) 738-5334
Entity
Organization
Contact information
Practice address
102 ESTRELLA, HORSESHOE BAY, TX 78657
(702) 738-5334
Mailing address
PO BOX 8171, HORSESHOE BAY, TX 78657-8171
(702) 738-5334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208795
—
TX
Enumeration date
10/05/2010
Last updated
09/06/2023
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