Ismile Dental II, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22611 Issued in TX

Legal business name

ISMILE DENTAL II, PLLC

Practice address

4935 S Collins Street
Suite 201
Arlington, TX 76018

Phone

(817) 419-9009

Fax

(817) 419-3377

NPI assigned

Nov 5, 2008

Last updated

Jul 31, 2019By 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

Dr. Long Nguyen, DMDNPI 1780772194

Title

Owner

Phone

(817) 419-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Long Nguyen, DMD

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1780772194
  NPD Authorized official
• Brooke Modkins

  • General Practice Dentistry
  • Aubrey, TX
  • NPI 1720745482
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1629222591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 S COLLINS STREET",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-419-9009",
            "fax_number": "817-419-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 S COLLINS STREET",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-419-9009",
            "fax_number": "817-419-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE DENTAL II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-419-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196848901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amayah Isaac
• Marta Isaacs
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• Maria Rosario Charle Mendoza Isidro, PT
• Haroon Ismaili, DDS
• Ashley Ison, PHARM D
• Israel a Hartman M D P a
• Amana Israel, COTA/L
• Patience Itoya
• Iunity Home Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.