Family Smiles of Greenville, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23695 Issued in TX

Legal business name

FAMILY SMILES OF GREENVILLE, PLLC

Practice address

8110 Wesley St Ste 100
Greenville, TX 75402-3936

Phone

(940) 222-7833

Fax

(855) 731-5147

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By 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

Everett Chad Evans, DDS

Title

Owner

Phone

(940) 312-5626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1164927737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 WESLEY ST STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023936",
            "telephone_number": "940-222-7833",
            "fax_number": "855-731-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES OF GREENVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-312-5626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Group of Greenville PLLC
• Family First Home Health and Hospice, LLC (Family First Hospice)
• Family First Home Health, LLC
• Family First Non-Emergency Medical Transportation, LLC
• Family Hospice, LTD. (Gentiva)
• Fannin County Hospital Authority (Legend Healthcare and Rehabilitation - Greenville)
• Hirut Faris, AGACNP
• Hassan Farooq, M.D.
• Rachel Fehrenbach, FNP-C
• Fernando M. Siles, MD, PLLC

• General Practice Dentistry in Greenville, TX
• Providers in Greenville, 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 Mar 27, 2018; 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.