Sophisticated Smiles TC, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOPHISTICATED SMILES TC, LLC

Practice address

189 Corporate Dr Ste 20
Johnson City, TN 37604-2385

Phone

(770) 307-8726

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Scot Armstrong

Title

Manager

Phone

(770) 307-8726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346091444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CORPORATE DR STE 20",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042385",
            "telephone_number": "770-307-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 CORPORATE DR STE 20",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042385",
            "telephone_number": "770-307-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHISTICATED SMILES TC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-307-8726"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Richard Soike, MD
• Thomas M Soike, M.D.
• Ashlyn Taylor Songer, MD
• Breigh Sonnier
• Jason Soong
• Karen H. Sorah, DPH
• David John Sossamon, D. C.
• Patrick David South, MD
• Southern Orthocare Inc
• Southside Senior Care LLC

• Dental Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.