Active NPI
White Oak Smiles PLLC
- Dentist
- White Oak, TX
National Provider Identifier
1386143097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30505
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30505 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
National Provider Directory
National Provider DirectoryLocations
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.