Ismile Dental at la Gran Plaza, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22611 Issued in TX

Legal business name

ISMILE DENTAL AT LA GRAN PLAZA, PLLC

Practice address

4200 South Fwy
Suite 1550
Fort Worth, TX 76115-1400

Phone

(817) 924-8000

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Thanh Truong, DDS

Title

President

Phone

(817) 924-8000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Trang Hoang, DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1184945560
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1629329891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16249",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761620249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "address_2": "SUITE 1550",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "817-924-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE DENTAL AT LA GRAN PLAZA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-924-8000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmuda Islam, MD
• Morgan Isler, PT, DPT
• Mais Ismael
• Bilal Ismail
• Ismile Dental
• Ismile Dental at the Chisolm Trail PLLC
• Ofonime Anthony Isokrari, ACNP-BC
• Nasser Issa
• Sabine Itani, MD
• Oseyi Itoya

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.