Dentasmiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTASMILES PLLC

Practice address

9116 N Grand Parkway West
Suite 200
Spring, TX 77379

Phone

(936) 314-2688

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Waleed Ahmad, DDS

Title

Owner

Phone

(415) 349-1183

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1780353516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 N GRAND PKWY W STE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 N GRAND PARKWAY WEST",
            "address_2": "SUITE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "936-314-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTASMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-349-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shauna W Depta, MD
• Gregory Alexander Derderian, LMFT
• Traci Desplinter, M.D.
• Destiny LMT

• General Practice Dentistry in Spring, TX
• Providers in Spring, 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 Mar 16, 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.