Lone Star Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LONE STAR SMILES PLLC

Practice address

5607 114TH St
Suite 200
Lubbock, TX 79424

Phone

(806) 666-1099

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Cole Adam Sutak, D.M.D.NPI 1922591510

Title

Owner/Dentist

Phone

(806) 666-1099

Specialties & licenses 1

Addresses

Other names 1

• Lone Star Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cole Adam Sutak, DMD

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1922591510
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1487319067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 114TH ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-666-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 114TH ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-666-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "SUTAK",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "806-666-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Janelle Logi-Royal, MS, CCC/SLP
• Louis Samuel Lombardi, PA-C
• Kendra Lomeli, HIS
• Lone Star Advanced Wound Care
• Lone Star Mobile Med PLLC
• Long & Harris Dermatology PLLC
• David R Long, MD
• Diane Long, M.ED., LPC
• Joshua Alan Long, CRNA
• Laura Lynn Long, M.D.

• All providers in Lubbock, TX
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.