Prosper Smile Studio PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROSPER SMILE STUDIO PLLC

Doing business as

Prosper Smile Studio

Practice address

900 S Preston Rd Ste 70
Prosper, TX 75078-5143

Phone

(469) 280-0425

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 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

Vicenta Reyes

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Prosper Smile Studio Doing business as

Locations

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1811644289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PRESTON RD STE 70",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750785143",
            "telephone_number": "469-280-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S PRESTON RD STE 70",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750785143",
            "telephone_number": "469-280-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER SMILE STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "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": "Prosper Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prosper Isd
• Prosper Pediatrics PLLC
• Prosper Pharmacy LLC (Prosper Pharmacy)
• Prosper Primary Care and Wellness PC (Prosper Health Primary, Urgent & Wellness)
• Prosper Primary Care and Wellness PC (Prosper Health Primary, Urgent & Wellness)
• Prosper Smiles PLLC
• Prosper Star Dental Company PLLC
• Prosper Vision Associates, PLLC
• Prosper Vision PLLC (Eye Gallery)
• Prosperity Place - Where All Things Are Possible

• General Practice Dentistry in Prosper, TX
• Providers in Prosper, 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 7, 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.