Clear Smile Docs, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13073 Issued in TX

Legal business name

CLEAR SMILE DOCS, PLLC

Practice address

1919 McKinney Ave
Dallas, TX 75201-1753

Phone

(469) 460-5915

NPI assigned

Aug 31, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Vanderlick

Title

Managing Partner

Phone

(469) 460-5915

Specialties & licenses 1

Addresses

Other names 1

• Clear Smiles Doing business as

Locations

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1578045969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011753",
            "telephone_number": "469-460-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011753",
            "telephone_number": "469-460-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SMILE DOCS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "VANDERLICK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "469-460-5915"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "13073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Horizon Therapy PLLC
• Clear Institute of Texas
• Clear Roads Group PLLC
• Clear Scoliosis Clinic
• Clear Skies Anesthesia PLLC
• Cleared4 Inc.
• Clearsky Medical Imaging LLC
• Clearsky MRI & Diagnostic Imaging Center of N. Dallas
• Clearview Behavioral Health of Texas
• Clearview Counseling Group

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, 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 Aug 31, 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.