Smile Studio of Wylie, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

19412 Issued in TX

Legal business name

SMILE STUDIO OF WYLIE, PLLC

Practice address

1125 W FM 544
Ste 700
Wylie, TX 75098-4951

Phone

(972) 442-3028

Fax

(972) 442-3831

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Julie Johnson

Title

Office Manager

Phone

(972) 442-3028

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1598000325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W FM 544",
            "address_2": "STE. 700",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984951",
            "telephone_number": "972-442-3028",
            "fax_number": "972-442-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W FM 544",
            "address_2": "STE 700",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984951",
            "telephone_number": "972-442-3028",
            "fax_number": "972-442-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO OF WYLIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-442-3028"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19412",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovejyot Singh, RN
• Rashmi Singh
• Ronda Sisak, RDN/LD
• Smart Body LLC
• Smile and Aesthetic 360
• Smiles of Wylie PLLC (Wylie Smiles)
• Kaitlyn Smith, SLP-CCC
• Rodney Smith
• Sarah Lynn Smith, LMT
• Kristen Paige Smitheart, ACNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.