Wesley Chapel Smiles Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WESLEY CHAPEL SMILES DENTISTRY, PA

Practice address

25464 Sierra Center Blvd
Lutz, FL 33559-7322

Phone

(813) 296-2028

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Minh B Pham, DDS

Title

Owner/DDS

Phone

(813) 296-2028

Specialties & licenses 1

Addresses

Other names 1

• Wesley Chapel Smiles Dentistry Doing business as

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1982178612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25464 SIERRA CENTER BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597322",
            "telephone_number": "813-296-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY CHAPEL SMILES DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "813-296-2028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Chapel Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wesley Chapel Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Weisenmiller
• Stephen Ward Welden, M.D.
• Yabsera Weldeyohannes
• Wellness Care Center LLC
• Stephanie Wells
• West Coast Dental Partners
• West Coast Dental Partners
• Westchase Physical Therapy & Medical Supply, LLC
• Westcoast Brace & Limb
• WH FL Dental PLLC

• All providers in Lutz, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.