Lavon Smiles, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

30271 Issued in TX

Legal business name

LAVON SMILES, PLLC

Doing business as

Smart Mouth Family Dental

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

Last updated

May 6, 2015By 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

Dr. Casey Draper, DMDNPI 1356757561

Title

Owner/Dentist

Phone

(844) 408-9750

Specialties & licenses 1

Addresses

Other names 1

• Smart Mouth Family Dental Doing business as

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.

• Casey Draper, DMD

  • Dentist
  • Lavon, TX
  • NPI 1356757561
  NPD (past) Authorized official

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1144607474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 STATE HIGHWAY 78 STE 200",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751661266",
            "telephone_number": "844-408-9750",
            "fax_number": "903-465-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 STATE HIGHWAY 78 STE 200",
            "city": "LAVON",
            "state": "TX",
            "postal_code": "751661266",
            "telephone_number": "844-408-9750",
            "fax_number": "903-465-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVON SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "844-408-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Mouth Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lavon Dental and Implant Center PLLC
• Lavon Family Dental
• Sarah Mansoor, FNP-BC
• Thingal G Masar, FNP-C
• Raymond Charles McKinney
• Mediexcell Transportation LLC
• Neutron Lab LLC (Lavon Pharmacy)

• Dentist in Lavon, TX
• Providers in Lavon, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.