Bellaire Dental Health Center, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17287 Issued in TX

Legal business name

BELLAIRE DENTAL HEALTH CENTER, P.C.

Doing business as

Wild Smiles

Practice address

5720 Bellaire Blvd
Suite D
Houston, TX 77081-5514

Phone

(713) 668-5437

NPI assigned

Apr 22, 2013

Last updated

Apr 22, 2013By 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

Gloria King

Title

Owner

Phone

(713) 668-5437

Specialties & licenses 1

Addresses

Other names 1

• Wild Smiles Doing business as

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1861836801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BELLAIRE BLVD",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815514",
            "telephone_number": "713-668-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BELLAIRE BLVD",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815514",
            "telephone_number": "713-668-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE DENTAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-668-5437"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellaire Cardiovascular Care PA
• Bellaire Cardiovascular Care, PA
• Bellaire Care Clinic, P.a.
• Bellaire Children's Clinic, P.a.
• Bellaire Chiropractic Inc
• Bellaire Dentists PA (Wild Smiles)
• Bellaire Diagnostic Imaging, LLC
• Bellaire Dialysis
• Bellaire Doctors
• Bellaire Emergency Center, LLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Apr 22, 2013; 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.