Provider Demographics
NPI:1326931353
Name:SWEETPEA SMILES RICHMOND PLLC
Entity type:Organization
Organization Name:SWEETPEA SMILES RICHMOND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KHORI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-512-8794
Mailing Address - Street 1:6715 FM 723 RD STE 400
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-9817
Mailing Address - Country:US
Mailing Address - Phone:281-566-6160
Mailing Address - Fax:
Practice Address - Street 1:6715 FM 723 RD STE 400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-9817
Practice Address - Country:US
Practice Address - Phone:281-566-6160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty