Trophy Smile Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29745 Issued in TX

Legal business name

TROPHY SMILE STUDIO

Practice address

301 Trophy Lake Dr
# 120
Trophy Club, TX 76262-5238

Phone

(817) 778-0337

Fax

(817) 720-0038

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By 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

Jaroslaw Wrobel, D.D.S

Title

Dentist

Phone

(817) 778-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1144762030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "# 120",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-778-0337",
            "fax_number": "817-720-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TROPHY LAKE DR",
            "address_2": "# 120",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625238",
            "telephone_number": "817-778-0337",
            "fax_number": "817-720-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPHY SMILE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "WROBEL",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-778-0337",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trophy Club Pediatrics PA
• Trophy Club Smiles PLLC
• Trophy Club Vision Care LLP
• Trophy Club Vision Care PLLC (Trophy Club Vision Care)
• Trophy Dental PA
• True Medicine, PA
• Tyler Oral & Facial Surgery Inc.
• Oluchi Ijeoma Uwajumogu, NP 1051106
• Walgreen Co (Walgreens #06047)
• Jessica Wasserman, CRNA

• General Practice Dentistry in Trophy Club, TX
• Providers in Trophy Club, 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 Nov 9, 2016; 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.