Kyle M. Smith, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KYLE M. SMITH, D.D.S., P.A.

Doing business as

Smith Family Dentistry

Practice address

4818 Wellington St Ste 3
Greenville, TX 75402-6010

Phone

(903) 455-5750

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kyle M. Smith, DDSNPI 1598966863

Title

Owner/Dentist

Phone

(903) 455-5750

Specialties & licenses 2

Addresses

Other names 2

• Smith Family Dentistry Doing business as
• Dental Sleep Solutions of Greenville Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kyle M. Smith, D.D.S., P.a.

  dba Smith Family Dentistry

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1629747498

  8224459854

  Same PAC ID

Tax ID family

Kyle M Smith DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kyle M. Smith, D.D.S., P.a.

  dba Smith Family Dentistry

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1629747498
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kyle M. Smith, D.D.S., P.a.

  dba Smith Family Dentistry

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1629747498
  NPPES parent name

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.

• Kyle Matthew Smith, D.D.S.

  • General Practice Dentistry
  • Greenville, TX
  • NPI 1598966863
  NPD Authorized official

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1760905335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 3",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-455-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST STE 3",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE M. SMITH, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-455-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Sleep Solutions of Greenville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Koester, CSFA
• Linton M Koger, MD
• Teresa D Kowalczyk, MD
• Anna Krantz, ACNPC-AG
• Howard Evan Kweller, M.D.
• Heather Lacy-Chadwick, LCSW
• Lakes Regional MHMR Center
• Ashley Rene Lang
• Melinda Faye Lawhorn, APRN
• Brandi Nicole Leber, BS, QMHP

• General Practice Dentistry in Greenville, TX
• Providers in Greenville, 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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.