Smiley Dental Kemp PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILEY DENTAL KEMP PLLC

Practice address

3901 Kemp Blvd
Wichita Falls, TX 76308-2118

Phone

(940) 488-4511

Fax

(940) 488-4521

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Lynhthy T Pham, DDS

Title

Owner

Phone

(469) 902-6792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1265156715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450758",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750450758",
            "telephone_number": "469-902-6792",
            "fax_number": "214-367-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082118",
            "telephone_number": "940-488-4511",
            "fax_number": "940-488-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY DENTAL KEMP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNHTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-902-6792",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Skelton, LCSW
• Morgan D Slaten
• Joe Lawrence Sledge, RN FNP
• Cynthia A Sloan, D.O.
• Sandy Slocum
• Smiley Dental Wichita Falls PLLC
• Cheryl Smiley, M.ED., LPC
• Angela Ladawn Smith, LPC-A
• Art Glenn Smith, M.D.
• Billy Don Smith, LPC

• General Practice Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, 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 15, 2023; 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.