Smiley Dental-Camp Bowie PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19887 Issued in TX

Legal business name

SMILEY DENTAL-CAMP BOWIE PLLC

Doing business as

Smiley Dental

Practice address

8440 Camp Bowie W
Fort Worth, TX 76116-6205

Phone

(214) 718-7880

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Lynh Thy Pham, DDS

Title

Owner President

Phone

(214) 718-7880

Specialties & licenses 1

Addresses

Other names 1

• SMILEY DENTAL Doing business as

Locations

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1255586574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182613",
            "telephone_number": "214-718-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 CAMP BOWIE W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166205",
            "telephone_number": "214-718-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL-CAMP BOWIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNH",
        "authorized_official_middle_name": "THY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "214-718-7880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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"
        }
    ]
}

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• Adam B. Smith, D.O.
• Alexander Smith

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Dec 1, 2008; 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.