Smile Workshop San Antonio, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE WORKSHOP SAN ANTONIO, PLLC

Practice address

119 SW Loop 410
109
San Antonio, TX 78245-2107

Phone

(210) 520-8338

Fax

(210) 520-5300

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Sulman Ahmed, DMD

Title

Owner

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental Westover Hills Doing business as

Locations

Practitioners 2

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

• Michael Arturo Medina, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1669172854
  NPD
• Margaret Susan Enoch, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1982760294
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1376819052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "214-757-4500",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SW LOOP 410",
            "address_2": "109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452107",
            "telephone_number": "210-520-8338",
            "fax_number": "210-520-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKSHOP SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Westover Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smile Kings Dental & Orthodontics, PLLC
• Smile Kings of Sa, PLLC
• Smile Kings of San Antonio, PLLC
• Smile Structure, PLLC
• Smile Workshop Alamo Ranch, PLLC
• Smileeasy Dental San Antonio, PLLC
• Smilegivers Professional Corporation
• Smileland Family Dental
• Smiles of Ingram Park PLLC
• Smiletrends

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.