Smile Concepts PC

Primary specialty

DentistTaxonomy code 122300000X

License

5776 Issued in OK

Legal business name

SMILE CONCEPTS PC

Doing business as

New Smile

Practice address

3150 E 41St St
Suite 108
Tulsa, OK 74105-3717

Phone

(918) 742-4500

Fax

(918) 742-4515

NPI assigned

Oct 21, 2009

Last updated

Oct 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Knowles, DMDNPI 1962419010

Title

Dentist

Phone

(918) 742-4500

Specialties & licenses 1

Addresses

Other names 1

• New Smile Doing business as

Locations

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.

• Trevor Alan Knowles, D.M.D.

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1962419010
  NPD (past) Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1285960526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST",
            "address_2": "SUITE 108",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053717",
            "telephone_number": "918-742-4500",
            "fax_number": "918-742-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST",
            "address_2": "SUITE 108",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053717",
            "telephone_number": "918-742-4500",
            "fax_number": "918-742-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CONCEPTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-742-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Smart, OTR/L
• Johna Kay Smasal, PH.D.
• Caroline Smejkal, M.A. CCC-SLP
• Todd J Smetana, LPC
• Smile Center, Inc.
• Smile Doctors of Oklahoma PC
• Smile Stop Dental of Soutwest Tulsa (Dr. Tarr's Smile Stop)
• Smile Stop Dental, LLC
• Smiles Family Dental, PLLC (CDHC)
• Jeromy Smiley

• Dentist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.