Organization Active NPI

Smiley Dental Skillman PLLC

Doing business as Smiley Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1215163936
Registry record updated Jun 9, 2009
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 SKILLMAN PLLC
Doing business as
Smiley Dental
Practice address
9203 Skillman St
Dallas, TX 75243-9032
Phone
(214) 718-7880
NPI assigned
Jun 9, 2009
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Lynh Pham, DDS
Title
Owner
Phone
(214) 718-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19887 TX Primary

Addresses

Primary practice location

9203 Skillman St
Dallas, TX 75243-9032

Mailing address

PO Box 453247
Garland, TX 75045-3247

Other names 1

  • SMILEY DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1215163936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453247",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439032",
            "telephone_number": "214-718-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL SKILLMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-718-7880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.