NPIMap

Organization Active NPI

Smile Workshop Timber Creek, PLLC

Doing business as Ideal Dental North Dallas

  • Dentist
  • Dallas, TX
National Provider Identifier
1710273131
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21936 Issued in TX
Legal business name
SMILE WORKSHOP TIMBER CREEK, PLLC
Doing business as
Ideal Dental North Dallas
Practice address
6243 Retail Road
100
Dallas, TX 75231
Phone
(214) 368-3384
Fax
(214) 368-3385
NPI assigned
Jun 23, 2011
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Sulman Ahmed, DMD
Title
Owner
Phone
(972) 331-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21936 TX Primary

Addresses

Primary practice location

6243 Retail Road
100
Dallas, TX 75231

Mailing address

PO Box 840925
Dallas, TX 75284-0925
Phone (214) 757-4500

Other names 1

  • Ideal Dental North Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

208 N Market St
Ste 322
Dallas, TX 75202
Phone (214) 757-4500

6243 Retail Rd
Ste 100
Dallas, TX 75231
Phone (214) 368-3384

Practitioners & affiliated clinicians

Practitioners 6

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": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1710273131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "214-757-4500",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 RETAIL ROAD",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-368-3384",
            "fax_number": "214-368-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKSHOP TIMBER CREEK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental North Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.