M Virk & H Skountrianos

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

M VIRK & H SKOUNTRIANOS

Doing business as

Smiles Orthodontics

Practice address

210 4TH Ave SW
Puyallup, WA 98371-5863

Phone

(253) 848-4537

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mahadeep Virk, DDS

Title

Owner

Phone

(253) 848-4537

Specialties & licenses 1

Addresses

Other names 1

• Smiles Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1447077839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715863",
            "telephone_number": "253-848-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715863",
            "telephone_number": "253-848-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M VIRK & H SKOUNTRIANOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "MAHADEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-848-4537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kami Lynch
• Marjorie Lynch
• Rachel Elizabeth Lynn, LMP
• Elizabeth Ann Lyter, DPT
• M Mahajan DDS PLLC (Wonderful Smiles)
• M Virk DMD Ms & E Polsky DDS, P.L.L.C
• Jillayne Macdonald
• Madison O'Grady Macey, MS, RD
• Grace Macharia
• Shelly Macharia, CBT

• Orthodontics and Dentofacial Orthopedics Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.