Shahid Dental Group Mt. Pleasant, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAHID DENTAL GROUP MT. PLEASANT, PLLC

Doing business as

Pleasant Smiles Dental

Practice address

204 W 19TH St
Mt Pleasant, TX 75455-2320

Phone

(903) 572-4141

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By 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

Benjamin E Tuinei

Title

Credentialing Manager

Phone

(602) 750-6897

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Smiles Dental Doing business as

Locations

Practitioners 3

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.

• Kasem Abdallah, DMD

  • Dentist
  • Mount Pleasant, TX
  • NPI 1396333027
  NPD
• Alexander Bradley Tabatabai

  • Dentist
  • Mount Pleasant, TX
  • NPI 1891599486
  NPD
• Don A Lutes

  • General Practice Dentistry
  • Mount Pleasant, TX
  • NPI 1093747230
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1992395420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 19TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552320",
            "telephone_number": "903-572-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 19TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552320",
            "telephone_number": "903-572-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID DENTAL GROUP MT. PLEASANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-750-6897"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Badeusz Scullin, N.P.
• Milan Sekulic, MD
• Shae Ochoa DDS, Ms, PA
• Mohammad Javeed Shafi, M.D.
• Vandana Mrugesh Shah, MD
• Shahid Dental Group Satellite, PLLC
• Husban Latif Shahid
• Husnain Shahid, DDS
• Rehan Shahid, DDS
• Aneel Ali Shermohmad, DO

• Dental Clinic/Center in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.