Precious Smiles Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28759 Issued in TX

Legal business name

PRECIOUS SMILES DENTISTRY, PC

Practice address

2713 N Grandview Ave
Odessa, TX 79762-6952

Phone

(432) 363-4453

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Rameau Chrissorne, LAURA

Title

Receptionist

Phone

(432) 363-4453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1285011882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626952",
            "telephone_number": "432-363-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626952",
            "telephone_number": "432-363-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "CHRISSORNE",
        "authorized_official_first_name": "RAMEAU",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "432-363-4453",
        "authorized_official_credential": "LAURA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalpana K Prasad, MD
• Smriti Prasad
• Suresh Prasad, MD
• Prasanna K Athyala
• Zachariah Fred Prather, DC
• Prema L. Vindhya, M.D., P. a.
• Premier Diagnostic Imaging Inc
• Premise Health of Texas Medical PA
• John W Presley, CRNA
• Prevarian Al Odessa Operations

• General Practice Dentistry in Odessa, TX
• Providers in Odessa, 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 May 4, 2015; 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.