Countryside Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COUNTRYSIDE SMILES PLLC

Practice address

222 E FM 544 Ste 208
Murphy, TX 75094-0397

Phone

(972) 957-7610

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaspreet Kaur Gill, DDSNPI 1174936629

Title

Owner

Phone

(972) 835-3023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaspreet Kaur Gill, DDS

  • Dentist
  • Murphy, TX
  • NPI 1174936629
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1073355038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HILLTOP DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750945344",
            "telephone_number": "972-835-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E FM 544 STE 208",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750940397",
            "telephone_number": "972-957-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASPREET KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-835-3023",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Murphy, TX
• Providers in Murphy, 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 11, 2024; 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.