Special Smiles Dental and Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPECIAL SMILES DENTAL AND ORTHODONTICS

Practice address

1875 County Road 101 Ste 150
Manvel, TX 77578-2136

Phone

(821) 607-5155

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Al Azzawi, BDS,MS,MS, PHDNPI 1578116968

Title

Member

Phone

(916) 595-3187

Specialties & licenses 1

Addresses

Other names 1

• Specialty Smiles Kids Family Dentistry & Orthodontics Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Mohammed Mahmood Al Azzawi, BDS, MS, MS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaumont, TX
  • NPI 1578116968
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1043895980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 LAGUNA SHORES DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775846748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 COUNTY ROAD 101 STE 150",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782136",
            "telephone_number": "821-607-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SMILES DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "AL AZZAWI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-595-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,MS,MS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "infospecialtysmiles@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1875 County Road 101 Ste 150",
            "city": "Manvel",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775782136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Specialty Smiles Kids Family Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Caesar Sollano Coloscos, OTR/L
• Samuel Sorrell, LAT, ATC
• Elvira Soto, LPC-A
• Southfork Senior Care, LLC
• Special Graces LLC
• Mark A Stearns, P.T.
• Tanya Monique Stephens, RN
• Kizzy Steward-Judie, PHARMD
• Sublime Medical Transportation Services LLC
• Swift Trip Transport

• Dental Clinic/Center in Manvel, TX
• Providers in Manvel, 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 Mar 12, 2021; 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.