Smile Corner PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24364 Issued in TX

Legal business name

SMILE CORNER PLLC

Practice address

2210 Live Oak Street
Suite C
Commerce, TX 75428

Phone

(617) 281-7941

NPI assigned

Dec 28, 2015

Last updated

Dec 28, 2015By 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

Gaurav Puri

Title

Director/Owner

Phone

(617) 281-7941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1821453473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LIVE OAK STREET",
            "address_2": "SUITE C",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "75428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LIVE OAK STREET",
            "address_2": "SUITE C",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "75428",
            "telephone_number": "617-281-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CORNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "617-281-7941"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selvaggi Investments (Live Oak Professional Center)
• Richard R Selvaggi, M.D.
• Thomas C Selvaggi, M.D.
• Sleep Ez, LLC
• Stephanie A Slough, FNP-C
• Smile Corner-Commerce PLLC
• Chasitiy Smith
• Kayla Monique Smith, LCSW
• Keith H Stroud, PT
• Suzanne E Monday MD (Greenville Healthcare Associates)

• Dentist in Commerce, TX
• Providers in Commerce, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.