NPIMap

Organization Active NPI

Smiley Dental Walnut, PLLC

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1154470003
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19887 Issued in TX
Legal business name
SMILEY DENTAL WALNUT, PLLC
Practice address
4431 W Walnut St
#A
Garland, TX 75042
Phone
(972) 485-1200
Fax
(972) 485-1211
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Lynh Thy T Pham, DENTIST (DDS)NPI 1548319627
Title
President/Owner
Phone
(214) 466-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19887 TX Primary

Addresses

Primary practice location

4431 W Walnut St
#A
Garland, TX 75042

Mailing address

PO Box 451268
Garland, TX 75045
Phone (214) 466-1400

Other names 1

  • Medallion Smiley Dental, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4431 W Walnut St
Ste A
Garland, TX 75042
Phone (972) 485-1200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1154470003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451268",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75045",
            "telephone_number": "214-466-1400",
            "fax_number": "214-466-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 W WALNUT ST",
            "address_2": "#A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-485-1200",
            "fax_number": "972-485-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL WALNUT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNH THY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-466-1400",
        "authorized_official_credential": "DENTIST (DDS)"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medallion Smiley Dental, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.