Smile Salon, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE SALON, PLLC

Doing business as

Glint Dental

Practice address

1600 S 1St St Ste 160
Austin, TX 78704-3048

Phone

(512) 653-4009

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Iana Elledge, DMDNPI 1619520087

Title

Dentist

Phone

(408) 221-9128

Specialties & licenses 1

Addresses

Other names 1

• Glint Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iana Elledge, DMD

  • General Practice Dentistry
  • Austin, TX
  • NPI 1619520087
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1033814710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 1ST ST STE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043048",
            "telephone_number": "512-653-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 1ST ST STE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043048",
            "telephone_number": "512-653-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SALON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "IANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-221-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smazy Enterprise IV LLC
• Smazy Enterprise IV LLC
• Jeremy Matthew Smiddy, RN
• Smile 360 PLLC
• Smile Bar Professional Corporation
• Smiles by Design
• Smiles for Schools
• Smiley Dental Lamar PLLC
• Nicollette Simone Smiley
• Sarah Imogene Smiley, D.O.

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.