Prosmile Dental Care, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23270 Issued in TX

Legal business name

PROSMILE DENTAL CARE, PLLC

Practice address

1919 Wirt Rd
Houston, TX 77055-2405

Phone

(713) 721-8889

NPI assigned

May 6, 2011

Last updated

May 6, 2011By 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. Paul Long, D.D.S.NPI 1164626354

Title

Dentist

Phone

(713) 721-8889

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.

• Paul Long, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1164626354
  NPD (past) Authorized official
• Duc-Huy Michael Dang, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1467891879
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1649562745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 SPRUCE MANOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770853012",
            "telephone_number": "832-434-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552405",
            "telephone_number": "713-721-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSMILE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-721-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185717906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Trevawn Prosise
• Prospect Therapy and Learning LLC
• Prospective Medical PLLC
• Prosper Lis LLC (Texas care Care Center San Benito)
• Prospera Rehabilitation LLC (Prospera Rehabilitation)
• Prospering Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.