Shaan Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAAN DENTAL PLLC

Doing business as

Smile & Co

Practice address

5270 Marathon Ave
Fort Worth, TX 76109

Phone

(817) 752-9936

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Souvik Sarkar, DDSNPI 1790168391

Title

Owner

Phone

(817) 752-9936

Specialties & licenses 1

Addresses

Other names 1

• Smile & Co Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Souvik Sarkar, DDS

  • Dentist
  • Snyder, TX
  • NPI 1790168391
  NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1770238602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 MARATHON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-752-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 MARATHON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-752-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SARKAR",
        "authorized_official_first_name": "SOUVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-752-9936",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile & Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keirra Louise Sexton, COTA/L
• Francoise Marcelle Seymore, LPC
• Khidja Seymour
• Belaynesh Seyoum
• Sghpc-Sa, LLC
• Ashley E Shabareck, NP
• Adrienne Marie Shabazz, LBSW
• Shabnam Qasim Mdpa
• Nabeel M Shabout, M.D.
• Janet Shackelford, MD

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Feb 18, 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.