Smile Club PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE CLUB PLLC

Practice address

400 E Highway 90 Ste 402
Dayton, TX 77535-2630

Phone

(936) 681-8592

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tejash Patel, DMD

Title

Director

Phone

(936) 681-8592

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1407267073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST HWY 90 SUITE 402",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "77535",
            "telephone_number": "936-681-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HIGHWAY 90 STE 402",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352630",
            "telephone_number": "936-681-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLUB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJASH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-681-8592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Dayton, TX
• Providers in Dayton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.