Organization
KIDS SMILE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICIO MARCUSHAMER DDS (OWNER)
(210) 225-8888
Entity
Organization
Contact information
Practice address
315 N SAN SABA, SUITE #1220, SAN ANTONIO, TX 78207-3154
(210) 225-8888
(210) 225-4195
Mailing address
315 N SAN SABA, SUITE#1220, SAN ANTONIO, TX 78207-3154
(210) 225-8888
(210) 225-4195
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1209389-02
—
TX
Enumeration date
06/20/2008
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us