Bonham Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24348 Issued in TX

Legal business name

BONHAM SMILES PLLC

Doing business as

Bonham Smiles

Practice address

2004 N Hwy 121 Ste 100
Bonham, TX 75418-2339

Phone

(817) 809-4865

Fax

(682) 626-1824

NPI assigned

Apr 16, 2018

Last updated

Apr 16, 2018By 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

Mr. Tee Semera

Title

Credentialing

Phone

(817) 809-4865

Specialties & licenses 1

Addresses

Other names 1

• Bonham Smiles Doing business as

Locations

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1104313295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "817-809-4865",
            "fax_number": "682-626-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N HWY 121 STE 100",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182339",
            "telephone_number": "817-809-4865",
            "fax_number": "682-626-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAM SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "817-809-4865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonham Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonham Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bonham, TX
• Providers in Bonham, 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 Apr 16, 2018; 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.