Smiley Dental Tidwell PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19887 Issued in TX

Legal business name

SMILEY DENTAL TIDWELL PLLC

Doing business as

Smiley Dental

Practice address

9417 Mesa Dr
Ste a
Houston, TX 77028-1253

Phone

(214) 718-7880

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Lynh Pham, DDS

Title

Owner

Phone

(214) 718-7880

Specialties & licenses 1

Addresses

Other names 1

• SMILEY DENTAL Doing business as

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1073821104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453247",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453247",
            "telephone_number": "214-718-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 MESA DR",
            "address_2": "STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281253",
            "telephone_number": "214-718-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL TIDWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-718-7880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smilestone Dental, PLLC
• Smiley Dental Bissonnet PLLC (Smiley Dental)
• Smiley Dental Normandy PLLC (Smiley Dental)
• Smiley Dental Northline PLLC (Smiley Dental)
• Smiley Dental Renwick PLLC (Smiley Dental)
• Smiley Dental-Bear Creek PLLC (Smiley Dental)
• Dexter Smiley
• Karen Ann Smiley, R.N.
• Katelyn Allyn Smiley, LCSW
• Markisha Smiley, LMSW

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Sep 23, 2010; 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.