Organization Active NPI

Smile Center, Inc.

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1669621629
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3343 Issued in OK
Legal business name
SMILE CENTER, INC.
Practice address
4528 S Sheridan Rd
Suite 112
Tulsa, OK 74145-1140
Phone
(918) 664-3366
Fax
(918) 664-0933
NPI assigned
Sep 15, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Larry Lee Williams, D.D.S.
Title
Owner
Phone
(918) 664-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3343 OK Primary

Addresses

Primary practice location

4528 S Sheridan Rd
Suite 112
Tulsa, OK 74145-1140

Mailing address

4528 S Sheridan Rd
Suite 112
Tulsa, OK 74145-1140
Phone (918) 664-3366

National Provider Directory

National Provider Directory

Locations

4528 S Sheridan Rd
Ste 112
Tulsa, OK 74145
Phone (918) 664-3366

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1669621629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD",
            "address_2": "SUITE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451140",
            "telephone_number": "918-664-3366",
            "fax_number": "918-664-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 S SHERIDAN RD",
            "address_2": "SUITE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451140",
            "telephone_number": "918-664-3366",
            "fax_number": "918-664-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-664-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.