Organization Active NPI

White Oak Smiles PLLC

  • Dentist
  • White Oak, TX
National Provider Identifier
1386143097
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30505 Issued in TX
Legal business name
WHITE OAK SMILES PLLC
Practice address
103 W US Highway 80 # B
White Oak, TX 75693-2003
Phone
(617) 838-2696
NPI assigned
Feb 8, 2018
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Raghav Puri, MS BDS
Title
Dentist/Owner
Phone
(430) 201-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30505 TX Primary

Addresses

Primary practice location

103 W US Highway 80 # B
White Oak, TX 75693-2003

Mailing address

103 W US Highway 80 Ste B
White Oak, TX 75693-2003
Phone (430) 201-2511

Other identifiers 1

IdentifierTypeStateIssuer
30505OtherTXTEXAS STATE BOARD OF DENTAL EXAMINERS

National Provider Directory

National Provider Directory

Locations

103 W US Highway 80
#A
White Oak, TX 75693

103 W US Highway 80
#B
White Oak, TX 75693
Phone (617) 838-2696

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1386143097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W US HIGHWAY 80 STE B",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932003",
            "telephone_number": "430-201-2511",
            "fax_number": "430-808-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W US HIGHWAY 80 # B",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932003",
            "telephone_number": "617-838-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "RAGHAV",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "430-201-2511",
        "authorized_official_credential": "MS BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "30505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.