Southwest Celebrity Smiles PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTHWEST CELEBRITY SMILES PLLC

Doing business as

Celebrity Smiles

Practice address

9515 Gateway Blvd W Ste B
El Paso, TX 79925-7250

Phone

(915) 595-3333

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Del Grant Greenhalgh, DMD

Title

Owner

Phone

(915) 595-3333

Specialties & licenses 1

Addresses

Other names 1

• Celebrity Smiles Doing business as

Locations

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1245810654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 MONTWOOD DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352717",
            "telephone_number": "352-443-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 GATEWAY BLVD W STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257250",
            "telephone_number": "915-595-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CELEBRITY SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "GREENHALGH",
        "authorized_official_first_name": "DEL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-595-3333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrity Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in El Paso, TX
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• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.