Family Smiles of Tyler PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY SMILES OF TYLER PC

Doing business as

Avenue Dental

Practice address

1206 Looney St
Brownwood, TX 76801-1818

Phone

(617) 281-7947

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Gunjan Dhir

Title

Director

Phone

(617) 281-7947

Specialties & licenses 1

Addresses

Other names 1

• Avenue Dental Doing business as

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1578906376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 SUMMER PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 LOONEY ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011818",
            "telephone_number": "617-281-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES OF TYLER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-281-7947"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.