Smile Zone-Pampa PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE ZONE-PAMPA PLLC

Practice address

103 E 28TH Ave
Pampa, TX 79065-3016

Phone

(806) 669-1833

Fax

(806) 669-1835

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Tee Semera

Title

Credentialing

Phone

(817) 809-4865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1154894921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 101",
            "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": "103 E 28TH AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653016",
            "telephone_number": "806-669-1833",
            "fax_number": "806-669-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE-PAMPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Edward Silhan, PR
• Silver Heart Cardiology MD PA
• Fred H Simmons
• Thela D Simmons, O.D.
• Anita Mae Simpson, LVN
• Bobby W Smith, DO
• Christine Smith, RN
• Derek Smith, RPH
• Jessica L Smith, FNP-BC
• Shane Smith, LMSW

• General Practice Dentistry in Pampa, TX
• Providers in Pampa, 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 Jan 4, 2019; 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.