NPI 1417413451 · live from the CMS NPI Registry
28 Smile, LLC
Dentist in Cypress, TX. National Provider Identifier 1417413451, active.
NPI record
| NPI | 1417413451 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 11403 Barker Cypress Rd Ste 1300, Cypress, TX 77433 |
| Practice phone | 281-721-9575 |
| Enumerated | February 14, 2019 |
| Last updated | October 10, 2024 |
| Authorized official | Peter Tran, Doctor/Owner |
| Other names | Alder Trails Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
| Clinic/Center, Dental | 261QD0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.