Smile Dental Care I, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE DENTAL CARE I, PLLC

Practice address

1834 S. Josey LN.
100
Carrollton, TX 75006

Phone

(469) 803-0279

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By 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

Khanh Anh Pham, D.D.S.

Title

President

Phone

(469) 803-0279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1952720062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 S. JOSEY LN.",
            "address_2": "100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "469-803-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 S. JOSEY LN.",
            "address_2": "100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "469-803-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CARE I, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-803-0279",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE ID",
            "identifier": "19801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Skaggs, LPTA
• Paul Skousen, DPT
• Skylight Home Health Care Inc.
• Luke Slama, PT, DPT
• Mary Elizabeth Slater, AU.D.
• Smile Pharmaceutical Inc (Smile Pharmacy)
• Ashley Whitney Smith, LPC
• Bryan Smith
• Derek Miles Smith, P.T.
• Erin Elizabeth Smith, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.