Smile Station Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22818 Issued in TX

Legal business name

SMILE STATION PEDIATRIC DENTISTRY, PLLC

Practice address

5011 S. McColl
Edinburg, TX 78539

Phone

(956) 821-0236

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Krystle Garza-Peisen, DDS

Title

Pediatric Dentist

Phone

(956) 821-0236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1801198437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 S. MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-821-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 S. MCCOLL",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-821-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STATION PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GARZA-PEISEN",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-821-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Manning Skalitsky, LPC
• Jimmy Erwin Slayton
• Sleep Better RGV LLC
• Sleepless in the RGV, LLC
• Smile Center of Edinburg, PLLC (Smile Center)
• Amy Elizabeth Smith, P.T.A.
• Bailey Josephine Smith, PMHNP-BC
• Brandon Lee Snell
• Sarah Lynn Snodgrass, MS, ATC, LAT
• Samuel K. Snyder, M.D.

• Pediatric Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.