| Champion Smiles Pediatric Dentistry | |
|
125 Ed Schmidt Blvd Ste 240 Hutto TX 78634-5588 | |
| (512) 982-1500 | |
| (512) 846-2845 |
| Full Name | Champion Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 125 Ed Schmidt Blvd Ste 240, Hutto, Texas |
| Authorized Official Name and Position | Deepa Naik (OWNER) |
| Authorized Official Contact | 5129821500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Smiles Pediatric Dentistry 125 Ed Schmidt Blvd Ste 240 Hutto TX 78634-5588 Ph: (512) 982-1500 | Champion Smiles Pediatric Dentistry 125 Ed Schmidt Blvd Ste 240 Hutto TX 78634-5588 Ph: (512) 982-1500 |
| NPI Number | 1518535350 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518535350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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