Organization Active NPI

SD Greenville LLC

Doing business as Smiley Dental

  • General Practice Dentistry
  • Greenville, TX
National Provider Identifier
1932504230
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SD GREENVILLE LLC
Doing business as
Smiley Dental
Practice address
5006 Wesley St
Greenville, TX 75402-6307
Phone
(903) 454-2336
Fax
(903) 454-2382
NPI assigned
Oct 29, 2014
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Lynhthy T Pham, DDSNPI 1548319627
Title
Owner/ Dentist
Phone
(214) 466-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5006 Wesley St
Greenville, TX 75402-6307

Mailing address

10901 Garland Rd
Dallas, TX 75218-2613
Phone (214) 466-1400

Other names 1

  • Smiley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10901 Garland Rd
Dallas, TX 75218
Phone (214) 321-8400

5006 Wesley St
Greenville, TX 75402
Phone (903) 454-2336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1932504230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182613",
            "telephone_number": "214-466-1400",
            "fax_number": "214-367-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026307",
            "telephone_number": "903-454-2336",
            "fax_number": "903-454-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNHTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "214-466-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiley Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.