SMILE CENTER PA - NPI 1144312836 - Dentist in Austin, TX

Q: What is Shane Istre Dental Associates's NPI number?

The NPI number for Shane Istre Dental Associates is 1144312836. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Smile Center PA.

Q: What is Shane Istre Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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About Smile Center Pa NPPES

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

SMILE CENTER PA (NPI 1144312836) is a healthcare organization registered as an oral and maxillofacial surgery in Austin, Texas and active in the NPI registry since September 2006. The organization lists Michael Shayne Istre, Owner President, as its authorized official.

NPPES Registry Identity

NPI1144312836

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSHANE ISTRE DENTAL ASSOCIATES

Location Address1144 AIRPORT BLVD, #240Austin, TX 78702

Mailing Address1144 Airport Blvd, #240Austin, TX 78702 · (512) 929-7888 · Fax (512) 929-8091

Phone(512) 929-7888

Fax(512) 929-8091

Organization SubpartNo

Authorized OfficialMichael Shayne IstreOwner President · (512) 535-8911

Enumeration DateSeptember 29, 2006

Last NPPES UpdateAugust 28, 2008

✔ NPI 1144312836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X

1144 AIRPORT BLVD, Austin, TX 78702

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Other Names 1

Doing Business AsSmile Center Pa

Other Identifiers 2

Medicaid091333701TX

OtherG60109-3TX · Texas Chip

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MRS. MARY ADEDAYO WALKER PHARM.D.

Pharmacist