Organization Active NPI

Smile Muse Dentistry PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1326847740
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE MUSE DENTISTRY PLLC
Practice address
9705 Tehama Ridge Pkwy Ste 149
Fort Worth, TX 76177-7523
Phone
(214) 699-7451
Fax
(817) 887-5169
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dr. Cornelius Davis, DHA
Title
Cfo
Phone
(501) 442-8585

Specialties & licenses 1

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

Addresses

Primary practice location

9705 Tehama Ridge Pkwy Ste 149
Fort Worth, TX 76177-7523

Mailing address

8305 Southridge CT
North Richland Hills, TX 76182-8494
Phone (501) 442-8585

Other practice location 1

609 Hemphill St Ste 102
Fort Worth, TX 76104-3113
Phone (214) 699-7451

Other names 1

  • Smile Muse Spa Doing business as

National Provider Directory

National Provider Directory

Locations

9705 Tehama Ridge Pkwy
Ste 149
Fort Worth, TX 76177
Phone (214) 699-7451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1326847740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SOUTHRIDGE CT",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828494",
            "telephone_number": "501-442-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 TEHAMA RIDGE PKWY STE 149",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777523",
            "telephone_number": "214-699-7451",
            "fax_number": "817-887-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Hemphill St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043113",
            "country_code": "US",
            "telephone_number": "214-699-7451",
            "fax_number": "817-887-5169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE MUSE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-442-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Muse Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.