Smile Design PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24365 Issued in TX

Legal business name

SMILE DESIGN PC

Practice address

100 Wolfe Nursery Rd
Ste 190
Stephenville, TX 76401-3731

Phone

(617) 281-7947

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gaurav Puri

Title

Director

Phone

61772817947

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1376891887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOLFE NURSERY RD",
            "address_2": "STE 190",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOLFE NURSERY RD",
            "address_2": "STE 190",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013731",
            "telephone_number": "617-281-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "61772817947",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Renee Silvers
• John Steven Simpson, LAT, ATC, CSCS
• Kaja Simpson, SLP
• Patty Slawson, LPC
• Taylor Smerud
• Andrea Smith, LPC-A
• Austin Smith
• Hannah Smith
• Julie Marie Smith, PA-C
• Madison Bailey Smith

• General Practice Dentistry in Stephenville, TX
• Providers in Stephenville, 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 Aug 15, 2012; 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.