Smile Workshop Universal City, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE WORKSHOP UNIVERSAL CITY, PLLC

Doing business as

Ideal Dental Universal City

Practice address

520 Kitty Hawk Dr
Universal City, TX 78148

Phone

(210) 446-1498

Fax

(210) 446-1499

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Alex Hamilton

Title

Owner

Phone

(469) 420-5326

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental Universal City Doing business as

Locations

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1477068427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "214-757-4500",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 KITTY HAWK DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "78148",
            "telephone_number": "210-446-1498",
            "fax_number": "210-446-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKSHOP UNIVERSAL CITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-420-5326"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Universal City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Universal City, TX
• Providers in Universal City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.