Active NPI
Smiley Dental Broadway PLLC
- General Practice Dentistry
- Garland, TX
National Provider Identifier
1942527593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19887
- Legal business name
- SMILEY DENTAL BROADWAY PLLC
- Practice address
- 5402 Broadway Blvd
Garland, TX 75043-3637 - Phone
- (214) 718-7880
- NPI assigned
- Apr 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynh T Pham
- Title
- President
- Phone
- (214) 718-7880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19887 | TX | Primary |
Addresses
Primary practice location
5402 Broadway Blvd
Garland, TX 75043-3637
Mailing address
PO Box 942045
Plano, TX 75094-2045
Other names 1
- SMILEY DENTAL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271894400000",
"number": "1942527593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942045",
"city": "PLANO",
"state": "TX",
"postal_code": "750942045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 BROADWAY BLVD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750433637",
"telephone_number": "214-718-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILEY DENTAL BROADWAY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-22",
"last_updated": "2010-04-22",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "LYNH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-718-7880"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SMILEY DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.