Precision Smile Structure Ingram

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27468 Issued in TX

Legal business name

PRECISION SMILE STRUCTURE INGRAM

Practice address

6035 NW Loop 410 Ste 107
San Antonio, TX 78238-3301

Phone

(210) 546-1337

NPI assigned

May 31, 2017

Last updated

Dec 14, 2022By 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

Adam SmithNPI 1376774133

Title

Owner

Phone

(530) 415-5483

Specialties & licenses 1

Addresses

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.

• Adam Leslie Smith, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1376774133
  Authorized official Same address or phone

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1710415989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410 STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410 STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301",
            "telephone_number": "210-546-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SMILE STRUCTURE INGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-415-5483"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Assistance of Surgery
• Precision Counseling
• Precision First Assist LLC (Precision Assist of San Antonio)
• Precision First Assist of Dallas LLC (Precision Assist of Dallas)
• Precision Hearing Conservation, PC (Precision Hearing Conservation)
• Precision Smile Structure Mission
• Precision Smile Structure South Park
• Precision Spine and Pain Management
• Precision Sport & Spine (None)
• Precision Surgery Partners,LLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Dec 14, 2022; 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.