Smiles of Wylie PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES OF WYLIE PLLC

Doing business as

Wylie Smiles

Practice address

2014 N Highway 78 Ste 150
Wylie, TX 75098-6091

Phone

(972) 442-6879

NPI assigned

Dec 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juveria Fakhruddin, DDS

Title

Dentist/Owner

Phone

(972) 442-6879

Specialties & licenses 1

Addresses

Other names 1

• Wylie Smiles Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1033757208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W PIONEER PKWY STE 101",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134502",
            "telephone_number": "972-442-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N HIGHWAY 78 STE 150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986091",
            "telephone_number": "972-442-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF WYLIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "FAKHRUDDIN",
        "authorized_official_first_name": "JUVERIA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "972-442-6879",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashmi Singh
• Ronda Sisak, RDN/LD
• Smart Body LLC
• Smile and Aesthetic 360
• Smile Studio of Wylie, PLLC
• Kaitlyn Smith, SLP-CCC
• Rodney Smith
• Sarah Lynn Smith, LMT
• Kristen Paige Smitheart, ACNP
• Hailey Sue Soriano

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.