NPIMap

Organization Active NPI

Supreme Dental Care PLLC

Doing business as Brighter Smile Family Dentistry

  • Dental Clinic/Center
  • Arlington, TX
National Provider Identifier
1265954150
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28768 Issued in TX
Legal business name
SUPREME DENTAL CARE PLLC
Doing business as
Brighter Smile Family Dentistry
Practice address
5100 W Sublett Rd Ste 100
Arlington, TX 76001-4860
Phone
(817) 483-0779
NPI assigned
Jul 12, 2017
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Osama A Darweesh, DDSNPI 1235570292
Title
Owner
Phone
(817) 483-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 28768 TX Primary

Addresses

Primary practice location

5100 W Sublett Rd Ste 100
Arlington, TX 76001-4860

Mailing address

5100 W Sublett Rd Ste 100
Arlington, TX 76001-4860
Phone (817) 483-0779

Other identifiers 1

IdentifierTypeStateIssuer
1235570292OtherTXNPI

Other names 1

  • Brighter Smile Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5100 W Sublett Rd
Ste 100
Arlington, TX 76001
Phone (817) 483-0779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1265954150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W SUBLETT RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760014860",
            "telephone_number": "817-483-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W SUBLETT RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760014860",
            "telephone_number": "817-483-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "DARWEESH",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-483-0779",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "28768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235570292",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Smile Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.