Smile Profile Dental of Texas PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29694 Issued in TX

Legal business name

SMILE PROFILE DENTAL OF TEXAS PLLC

Practice address

1997 Katy Mills Blvd Ste 500
Katy, TX 77494-4958

Phone

(832) 953-5052

NPI assigned

Jan 9, 2016

Organization subpart

No

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

Authorized official

Name

Gagandeep Singh Kahlon, DDS

Title

Owner

Phone

(713) 417-3121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1285090027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 KATY MILLS BLVD STE 500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944958",
            "telephone_number": "832-953-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 KATY MILLS BLVD STE 500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944958",
            "telephone_number": "832-953-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PROFILE DENTAL OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-417-3121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Monique Smith Dawson, EMBA, MHA, CP, CTRS
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• Amanda Curry Smith, PA-C
• Amy Smith

• General Practice Dentistry in Katy, TX
• Providers in Katy, 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 Jan 9, 2016; 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.