Organization Active NPI

Small Smiles-Dentistry for Children

  • Dental Clinic/Center
  • Pflugerville, TX
National Provider Identifier
1376735019
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMALL SMILES-DENTISTRY FOR CHILDREN
Doing business as
Smile Dental Patrol, PA
Smile Patrol
TSP Smile Patrol
Practice address
619 Heatherwilde Blvd
Pflugerville, TX 78660-5322
Phone
(512) 989-6900
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Smile Patrol, D.D.S.
Title
Owner
Phone
(512) 989-6900

Specialties & licenses 1

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

Addresses

Primary practice location

619 Heatherwilde Blvd
Pflugerville, TX 78660-5322

Mailing address

619 Heatherwilde Blvd
Pflugerville, TX 78660-5322
Phone (512) 989-6900

Other names 3

  • Smile Dental Patrol, PA Doing business as
  • Smile Patrol Doing business as
  • TSP Smile Patrol Doing business as

National Provider Directory

National Provider Directory

Locations

619 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 989-6900

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": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1376735019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605322",
            "telephone_number": "512-989-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605322",
            "telephone_number": "512-989-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES-DENTISTRY FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "PATROL",
        "authorized_official_first_name": "SMILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-989-6900",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental Patrol, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Patrol",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSP Smile Patrol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.