Smile Studio PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28728 Issued in TX

Legal business name

SMILE STUDIO PLLC

Practice address

1772 W Church St
Livingston, TX 77351-9005

Phone

(936) 327-7550

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Pavan Chiluvoju, DDS

Title

Owner

Phone

(936) 327-7550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1053727628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 WEST CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "936-327-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519005",
            "telephone_number": "936-327-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "CHILUVOJU",
        "authorized_official_first_name": "PAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-327-7550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Shane Shaw, M.D., P.A.
• Samantha Carol Shipman, RD
• Michael Shukan, M.D.
• Christopher Michael Sifuentes, LMT
• Sleep Quest
• Smile Studio-Livingston PLLC
• Charlene Smith, MD
• Crystal Lynn Smith, CNM
• Shana Smith
• Abigail Springfield, COTA

• General Practice Dentistry in Livingston, TX
• Providers in Livingston, 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 Jan 7, 2015; 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.