Premier Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PREMIER SMILES PLLC

Doing business as

UNIVERSAL DENTAL

Practice address

1652 Pat Booker Rd
Universal City, TX 78148-3433

Phone

(210) 658-4011

Fax

(210) 658-3471

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ikenna Okafor, DDSNPI 1942686225

Title

Managing Member

Phone

(512) 599-2491

Specialties & licenses 1

Addresses

Other names 1

• UNIVERSAL 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.

• Ikenna K Okafor, DDS

  • General Practice Dentistry
  • Universal City, TX
  • NPI 1942686225
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1164137303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-599-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avery Phillips
• Jessica Ann Phillips, BCBA
• Kristina M Phillips
• Angela M Poley, LVN
• Jennifer Lynn Porter, RDH
• Veronica Elisa Prince, APRN-CNP
• Private Healthcare Facilities
• Amelia Quiroga
• Kerry Alyson Ramirez
• Taylor Christine Ramirez

• Dental Clinic/Center in Universal City, TX
• Providers in Universal City, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.