Southern Smiles, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHERN SMILES, PA

Practice address

8421 FM 521 Rd
Suite F
Rosharon, TX 77583

Phone

(281) 369-5569

Fax

(281) 369-5150

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Phi Trong Pham, DDSNPI 1740891589

Title

Founder

Phone

(757) 277-2569

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Phi Trong Pham, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1740891589
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689379200000",
    "number": "1669159299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20073",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774960073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 FM 521 RD",
            "address_2": "SUITE F",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "281-369-5569",
            "fax_number": "281-369-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHI",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "757-277-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Smalls, LMSW
• Carol Smeltz, MD, PHD, MS, RD, LD
• Amber Vashonn Smith
• Lenard Smith Jr.
• Melisa Ann Smith, LPC-A
• Speech and Language Institute
• Gabrielle Michelle Spiller, NP-C
• Dakari Sportsman
• Deshun Stanley
• Jamie Steer, COTA

• General Practice Dentistry in Rosharon, TX
• Providers in Rosharon, 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 Jul 15, 2023; 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.