Smile Island Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16742 Issued in TX

Legal business name

SMILE ISLAND DENTAL, PLLC

Practice address

6513 Preston Rd
Suite 500
Plano, TX 75024-2688

Phone

(972) 378-6762

Fax

(972) 378-6771

NPI assigned

Jun 4, 2008

Last updated

Feb 9, 2012By 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

Jennifer Weems

Title

Office Manager

Phone

(972) 378-6762

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1700045861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "972-378-6762",
            "fax_number": "972-378-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "972-378-6762",
            "fax_number": "972-378-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ISLAND DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-378-6762"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "16742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583841-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel C Small, DDS
• Stuart D. Small, M.D.
• Smart Neuro Health & Wellness Professionals Texas PA
• Smart Neuro Health & Wellness Professionals Texas PA
• Smile Design Dental, P.a.
• Smile Strong Dental, PLLC (Dental Care of Plano)
• Smileeasy Dental Plano, PLLC
• Susan Smiley, LAT
• Jennifer D Smith-Reed X, COTA
• Abigail Lou Smith, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.