Westlake Dental PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13408 Issued in TX

Legal business name

WESTLAKE DENTAL PA

Doing business as

Smithson Valley Dental Professionals

Practice address

20450 State Highway 46 W
Suite 400
Spring Branch, TX 78070-6130

Phone

(830) 980-1800

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Edward Brian Smith, D.O

Title

Owner

Phone

(830) 980-1800

Specialties & licenses 2

Addresses

Other names 1

• Smithson Valley Dental Professionals Doing business as

Locations

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1184022584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20450 STATE HIGHWAY 46 W",
            "address_2": "SUITE 400",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706130",
            "telephone_number": "830-980-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20450 STATE HIGHWAY 46 W",
            "address_2": "SUITE 400",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706130",
            "telephone_number": "830-980-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-980-1800",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "14120",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithson Valley Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Genevieve Monroe Welch, DPT
• Brittany Faye Wells, DPT
• Lorin Ray Williams East, LPC
• Wayne Williams
• Jared Alvin Wright, DDS
• Priscilla Wu, DDS
• Your Doctor on Demand PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.