Organization Active NPI

Polished Smiles of Round Rock PLLC

Doing business as Polished Smiles of Round Rock

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1972320661
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POLISHED SMILES OF ROUND ROCK PLLC
Doing business as
Polished Smiles of Round Rock
Practice address
4450 University Blvd Ste 150
Round Rock, TX 78665-2282
Phone
(512) 564-4282
Fax
(512) 233-0518
NPI assigned
Sep 24, 2024
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Hong Im
Title
Owner
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4450 University Blvd Ste 150
Round Rock, TX 78665-2282

Mailing address

4450 University Blvd Ste 150
Round Rock, TX 78665-2282
Phone (512) 564-4282

Other names 1

  • Polished Smiles of Round Rock Doing business as

National Provider Directory

National Provider Directory

Locations

4450 University Blvd
Ste 150
Round Rock, TX 78665
Phone (512) 564-4282

4450 University Blvd
Ste 600
Round Rock, TX 78665

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": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1972320661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 UNIVERSITY BLVD STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652282",
            "telephone_number": "512-564-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 UNIVERSITY BLVD STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652282",
            "telephone_number": "512-564-4282",
            "fax_number": "512-233-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED SMILES OF ROUND ROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polished Smiles of Round Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.