PASADENA DENTAL SMILE, PLLC (NPI# 1063920015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063920015 |
| Entity Type | Organization |
| Organization Name | PASADENA DENTAL SMILE, PLLC |
| Other Organization Name | VICTORY SMILES DENTAL CENTER OF PASADENA |
| Practice Address |
4002 Burke Rd # 100 Pasadena TX 77504-3451 |
| Mailing Address |
7328 Antoine Dr Houston TX 77088-7230 |
| Practice Telephone | 8323680793 |
| Mailing Telephone | 2815916500 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | JAMES PHAM (OWNER) |
| Authorized Official Telephone | 8323680793 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Victory Smiles Dental Center of Pasadena | Doing Business As Name - Organization |
| Street Address |
4002 BURKE RD # 100 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197208 | Dental Land Pllc | Dentist | 2525 Southmore Ave # Site200, Pasadena, TX 77502-1451 | 2020-03-03 |
| 1346801792 | Koutchekpour & Spero, A Professional Corporation | Dentist | 900 Valley View Ave Unit 2, Pasadena, CA 91107-1976 | 2019-06-26 |
| 1912563958 | Cisneros Dentistry Pllc | Dentist | 918 W Southmore Ave Ste 115, Pasadena, TX 77502-1020 | 2019-05-15 |
| 1649737008 | Top Dental Pasadena | Dentist | 950 E Colorado Blvd Ste 201, Pasadena, CA 91106-2300 | 2019-02-21 |
| 1225512551 | Winnie Liang | Dentist | 65 N Madison Ave Ste 506, Pasadena, CA 91101-2048 | 2018-09-22 |
| 1508372269 | Dong-gil Kang Dds Inc | Dentist | 668 N Los Robles Ave, Pasadena, CA 91101-1004 | 2017-12-18 |
| 1962912139 | H. Robert Stender, Dds, Inc. | Dentist | 200 S El Molino Ave Ste 6, Pasadena, CA 91101-2985 | 2017-10-02 |
| 1598293250 | Chandni P. Jogani, D.d.s. | Dentist | 175 S El Molino Ave Ste 6, Pasadena, CA 91101-2564 | 2017-05-25 |
| 1053843359 | Kyle Low | Dentist | 301 S Fair Oaks Ave Ste 205, Pasadena, CA 91105-2536 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.