Smile and Aesthetic 360

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE AND AESTHETIC 360

Practice address

2810 W FM 544 Ste 100
Wylie, TX 75098-7138

Phone

(972) 371-0441

NPI assigned

Jun 9, 2026

Organization subpart

No

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

Authorized official

Name

Juveria Fakhruddin, DDS

Title

Ceo

Phone

(219) 308-7221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1598699191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ROLLING HILLS LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750981379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W FM 544 STE 100",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987138",
            "telephone_number": "972-371-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AND AESTHETIC 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "FAKHRUDDIN",
        "authorized_official_first_name": "JUVERIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-308-7221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harsimran Singh
• Lovejyot Singh, RN
• Rashmi Singh
• Ronda Sisak, RDN/LD
• Smart Body LLC
• Smile Studio of Wylie, PLLC
• Smiles of Wylie PLLC (Wylie Smiles)
• Kaitlyn Smith, SLP-CCC
• Rodney Smith
• Sarah Lynn Smith, LMT

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.