Organization Active NPI

Pediatric Dental Services

Doing business as Sweet Smiles

  • Pediatric Dentistry
  • Plano, TX
National Provider Identifier
1669759726
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24791 Issued in TX
Legal business name
PEDIATRIC DENTAL SERVICES
Doing business as
Sweet Smiles
Practice address
2100 Hedgcoxe Rd Ste 150
Plano, TX 75025-3156
Phone
(972) 517-8300
Fax
(972) 517-8322
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Khaled Jadid, DDSNPI 1699904938
Title
Owner/Dentist
Phone
(214) 697-4173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 24791 TX Primary

Addresses

Primary practice location

2100 Hedgcoxe Rd Ste 150
Plano, TX 75025-3156

Mailing address

2100 Hedgcoxe Rd Ste 150
Plano, TX 75025-3156
Phone (972) 517-8300

Other names 1

  • Sweet Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Hedgcoxe Rd
Ste 150
Plano, TX 75025
Phone (240) 441-9395

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1669759726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HEDGCOXE RD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253156",
            "telephone_number": "972-517-8300",
            "fax_number": "972-517-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HEDGCOXE RD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253156",
            "telephone_number": "972-517-8300",
            "fax_number": "972-517-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "JADID",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "214-697-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.