SS Powers Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SS POWERS DENTAL, P.A.

Doing business as

THE SMILE CENTER

Practice address

4825 Concord Rd
Beaumont, TX 77703-1811

Phone

(512) 832-6225

Fax

(512) 832-8454

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Michael S Istre, DDS

Title

Owner

Phone

(512) 832-6225

Specialties & licenses 1

Addresses

Other names 1

• THE SMILE CENTER Doing business as

Tax ID family

King Smiles Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SS Powers Dental, P.a.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1184943086
  NPD tax ID

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1356660260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 CONCORD RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777031811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 CONCORD RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777031811",
            "telephone_number": "512-832-6225",
            "fax_number": "512-832-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS POWERS DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "ISTRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-832-6225",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SMILE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vida Riston Sprott, APRN, CNM, FNP
• Toben Richard Squires, PTA
• Sakuntalai Srinanthakumar, M.D.
• Sringleaf Medical, LTD
• Sriya Desilva
• SSC Beaumont Green Acres Operating Company LLC
• Pamela Ann St Amand, MD
• St Elizabeth Rehab Partners, LLP
• Rayann St. Peter, LPC
• Michael Todd Stafford, M.D.

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, 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 18, 2010; 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.