Organization Active NPI

Nielsen Dental PLLC

  • General Practice Dentistry
  • Denison, TX
National Provider Identifier
1689461261
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NIELSEN DENTAL PLLC
Doing business as
Smart Mouth Family Dental
Practice address
2511 W Morton St
Denison, TX 75020-1473
Phone
(903) 463-3443
Fax
(903) 465-1134
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Juana Peck Cram
Title
Practice Manager
Phone
(903) 463-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2511 W Morton St
Denison, TX 75020-1473

Mailing address

2511 W Morton St
Denison, TX 75020-1473
Phone (903) 463-3443

Other names 1

  • Smart Mouth Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2511 W Morton St
Denison, TX 75020
Phone (903) 463-3443

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1689461261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201473",
            "telephone_number": "903-463-3443",
            "fax_number": "903-465-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201473",
            "telephone_number": "903-463-3443",
            "fax_number": "903-465-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "PECK CRAM",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "903-463-3443"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Mouth Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.