Mountain Smiles - Boyd PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOUNTAIN SMILES - BOYD PLLC

Practice address

400 W Rock Island Ave
Boyd, TX 76023-3104

Phone

(940) 433-8545

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Gimenez

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1588569115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ROCK ISLAND AVE",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760233104",
            "telephone_number": "940-433-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ROCK ISLAND AVE",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760233104",
            "telephone_number": "940-433-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - BOYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Kay Love, RPH
• Michele Markulec, LPC-A
• Michelle Davila DDS, PC (Boyd Family Dentistry)
• James Dillon Moore, FNP
• Lauren Hailey Morton, NP-C
• Kelli Moyer
• Deedra Denae Phipps
• Salfiti Boyd Pharmacy, LLC (Boyd Medicine Store)
• Jessica Jean Sanchez, RN, MSN, APRN, FNP-C
• Cicily Young Song, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.