Sea of Smiles Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

26514 Issued in TX

Legal business name

SEA OF SMILES PEDIATRIC DENTISTRY

Practice address

6950 Parkwood Blvd
Suite 200
Frisco, TX 75034-7428

Phone

(214) 436-4040

Fax

(972) 236-0024

NPI assigned

Apr 13, 2016

Last updated

Jun 3, 2016By 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. Dana DoanNPI 1538448600

Title

Owner

Phone

(214) 436-4040

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, and the practitioner matching its NPPES authorized official.

• Dana Doan, DDS

  • Pediatric Dentistry
  • Frisco, TX
  • NPI 1538448600
  NPD (past) Authorized official

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1689028821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 PARKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347428",
            "telephone_number": "214-436-4040",
            "fax_number": "972-236-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 PARKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347428",
            "telephone_number": "214-436-4040",
            "fax_number": "972-236-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA OF SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-436-4040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "26514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.