Willow Creek Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30350 Issued in TX

Legal business name

WILLOW CREEK SMILES PLLC

Practice address

9166 Farm to Market 2920 Rd
Suite 900
Tomball, TX 77375

Phone

(281) 516-8575

NPI assigned

May 29, 2018

Last updated

May 29, 2018By 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. Tom Nguyen, DDSNPI 1679973184

Title

Manager

Phone

(713) 858-6438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom Nguyen

  • Dentist
  • Houston, TX
  • NPI 1679973184
  NPD Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1467943266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11146 HILLSIDE GLEN TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655022",
            "telephone_number": "713-858-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9166 FARM TO MARKET 2920 RD",
            "address_2": "SUITE 900",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-516-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-858-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "30350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhaila Intiasar Wiley, RN
• William T. Harbour, MD (Cypress Medical Clinic, PA)
• Natesha Williams, LPC
• Nicole Camille Williams, SLP
• Roderick Shaun Williams, LAT
• Harold David Wills, MD
• Christine Wilson, NP
• Dan E Wilson Jr., D.O.
• Holly Lynn Wilson, CMHC
• Benisha Laportia Wiltz-Kargou, M.D.

• Dental Clinic/Center in Tomball, TX
• Providers in Tomball, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.