SMILE BAR PROFESSIONAL CORPORATION
NPI 1033965009
Clinic/Center - Dental in Austin, TX

Active since April 29, 2024
9901 BRODIE LN STE 130, AUSTIN, TX 78748(737) 204-7208 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smile Bar Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE BAR PROFESSIONAL CORPORATION (NPI 1033965009) is a healthcare organization registered as a dental in Austin, Texas and active in the NPI registry since April 2024. The organization lists Nichole Kostiuk, Dentist, as its authorized official.

NPPES Registry Identity

NPI1033965009
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSMILE BAR PROFESSIONAL CORPORATION
Location Address9901 BRODIE LN STE 130Austin, TX 78748-5889
Mailing Address7329 Cordoba DrAustin, TX 78724-6251 · (941) 875-7002
Organization SubpartNo
Authorized OfficialNichole KostiukDentist · (941) 875-7002
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1033965009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9901 BRODIE LN STE 130, Austin, TX 78748

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
9901 BRODIE LN STE 130
AUSTIN, TX 78748
Dentist (General Practice)
9901 BRODIE LN STE 130
AUSTIN, TX 78748
Dentist (General Practice)
9901 BRODIE LN STE 130
AUSTIN, TX 78748
Dentist (General Practice)
9901 BRODIE LN STE 130
AUSTIN, TX 78748
Clinic/Center (Dental)
9901 BRODIE LN STE 130
AUSTIN, TX 78748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Bar Professional Corporation's NPI number?

The NPI number for Smile Bar Professional Corporation is 1033965009. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Smile Bar Professional Corporation located?

Smile Bar Professional Corporation is located at 9901 Brodie Ln Ste 130, Austin, TX 78748. The listed phone number is (737) 204-7208.

What is Smile Bar Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smile Bar Professional Corporation was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.