Lavon Smiles, PLLC
Organization Active NPI Dentist · Lavon, TX
NPI 1144607474 · NPPES record last updated May 6, 2015
Key facts
- NPI
- 1144607474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 30271 (TX)
- Legal business name
- LAVON SMILES, PLLC
- Practice address
- 440 State Highway 78 Ste 200
Lavon, TX 75166-1266 - Phone
- (844) 408-9750
- Fax
- (903) 465-1134
- NPI assigned
- May 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Casey Draper, DMD
- Title
- Owner/Dentist
- Phone
- (844) 408-9750
Practitioners 1
-
Casey Draper, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 30271 | TX | Yes |
Addresses
Primary practice location
440 State Highway 78 Ste 200
Lavon, TX 75166-1266
Mailing address
440 State Highway 78 Ste 200
Lavon, TX 75166-1266
Phone (844) 408-9750
Other names
- Smart Mouth Family Dental
Other providers in Lavon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.