Three Mile Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24586 Issued in TX

Legal business name

THREE MILE DENTISTRY, PLLC

Doing business as

Smile & Shine

Practice address

1701 W Mile 3 Rd
Mission, TX 78573-4181

Phone

(956) 437-2220

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Harjap Singh Nanva

Title

Member

Phone

(956) 437-2220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smile & Shine Doing business as

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1699149518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR",
            "address_2": "SUITE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MILE 3 RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785734181",
            "telephone_number": "956-437-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE MILE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "NANVA",
        "authorized_official_first_name": "HARJAP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-437-2220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202219607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313703601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile & Shine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mission, TX
• Providers in Mission, 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 Nov 24, 2015; 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.