Smith Family Dentistry PA

Primary specialty

DentistTaxonomy code 122300000X

License

18888 Issued in TX

Legal business name

SMITH FAMILY DENTISTRY PA

Practice address

11910 Greenville Ave
Suite 110
Dallas, TX 75243-3596

Phone

(214) 503-6776

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Princele Smith, DDS

Title

President

Phone

(214) 503-6776

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ashley Smith, DDS

  • Dentist
  • Allen, TX
  • NPI 1629523642
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1528329307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-503-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-503-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "PRINCELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-503-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009505105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiley Ventures Inc.
• Kevin Mitchell Smit, MD
• Mackenzie Barrie Smiter, MD
• Smith & Stokes PC
• Smith DME LLC
• Ruth Ann Smith Moseley, NP
• Smith Young Associates, LLC
• Gayle Latrece Smith-Blair, MD
• Marcie Smith-Corlette, NURSE PRACTITIONER
• Natalie Smith-Low, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.