Organization
SHANDRA CUSHINGBERRY, DDS, PA
Active
Other names
Simply Smiles Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANDRA CUSHINGBERRY DDS (OWNER/PRESIDENT)
(713) 551-9400
Entity
Organization
Contact information
Practice address
10350 S POST OAK RD, SUITE H, HOUSTON, TX 77035-3313
(713) 551-9400
(713) 551-9405
Mailing address
10350 S POST OAK RD, SUITE H, HOUSTON, TX 77035-3313
(713) 551-9400
(713) 551-9405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135072011
—
TX
01
—
336290
DENTAQUEST
TX
Enumeration date
03/07/2012
Last updated
03/07/2012
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