SMILE CLUB-DAYTON PLLC (NPI# 1366915969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366915969 |
| Entity Type | Organization |
| Organization Name | SMILE CLUB-DAYTON PLLC |
| Practice Address |
400 E Highway 90 Ste 402 Dayton TX 77535-2630 |
| Mailing Address |
1261 W Green Oaks Blvd Ste 101 Arlington TX 76013-8349 |
| Practice Telephone | 9366818592 |
| Practice Fax Number | 9366818599 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | TEE SEMERA (CREDENTIALING) |
| Authorized Official Telephone | 4695569000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
400 E HIGHWAY 90 STE 402 |
| City | DAYTON |
| State | TX |
| Zip Code | 77535-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267073 | Smile Club Pllc | Dentist | 400 E Highway 90 Ste 402, Dayton, TX 77535-2630 | 2014-05-16 |
| 1376041764 | Dayton Dental Pllc | Dentist | 400 E Highway 90 Ste 402, Dayton, TX 77535-2630 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063063 | Patsy A Conner | Technician | 101 Pine Place Street, Dayton, TX 77535 | 2019-09-23 |
| 1851949002 | Michele Lee Northrup | Pharmacist | 108 N Main, Ste B, Dayton, TX 77535 | 2019-08-30 |
| 1548761257 | Yolanda Tillis | Contractor | 604 Hope Street, Dayton, TX 77535 | 2018-02-27 |
| 1235668625 | Red Beard LLC | Assisted Living Facility | 265 County Road 613, Dayton, TX 77535 | 2017-06-08 |
| 1235560541 | Five Star Care Inc. | Pharmacy | 108-b North Main, Dayton, TX 77535 | 2013-12-12 |
| 1124224894 | Shannon T. Boyer | Psychologist | 106 S Cleveland St, Dayton, TX 77535 | 2007-06-21 |
| 1497888721 | Simmons Chiropractic and Wellness Center, P.C. | Chiropractor | 108 Sterling, Dayton, TX 77535 | 2007-03-14 |
| 1740235118 | Redman Family Practice Clinic | Family Medicine | 107 N Winfree, Dayton, TX 77535 | 2006-05-24 |
| 1831399492 | Dayton Isd | Local Education Agency (LEA) | 100 Cherry Creek Rd, Dayton, TX 77535-1301 | 2007-07-23 |
| 1215374608 | Todd Puckett | Counselor | 6 Skylark St, Dayton, TX 77535-1538 | 2013-05-27 |
| Find all providers in zip 77535 | ||||
| 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 |
|---|---|---|---|---|
| 1225687692 | Julianne Fanny Avrutik | Dentist | 395 Ridge Rd Ste 5, Dayton, NJ 08810-1398 | 2019-09-09 |
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1649765876 | Ryan Conner Tutor | Dentist | 225 Main St Ste 400, Dayton, TN 37321-1329 | 2018-06-29 |
| 1043765985 | Supriya Sharma | Dentist | 2411 Miamisburg Centerville Rd, Dayton, OH 45459-3723 | 2016-08-21 |
| 1871930396 | Keta Bhakta | Dentist | 13551 Balsam Ln N, Dayton, MN 55327-9464 | 2013-05-23 |
| 1932440724 | Shelhouse Dental Group LLC | Dentist | 1601 Needmore Rd, Dayton, OH 45414-3855 | 2013-03-05 |
| 1316288103 | Shelhouse Comprehensive Dental LLC | Dentist | 5335 Far Hills Ave Ste 210, Dayton, OH 45429-2317 | 2013-03-05 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1124307202 | Brooke D Goodwin | Dentist | 101 Heartland Ct, Dayton, VA 22821-9000 | 2011-08-08 |
| 1760795785 | Kokila Punia | Dentist | 1309 Blossom Cir, Dayton, NJ 08810-2414 | 2010-07-19 |
| Find all providers in DAYTON | ||||
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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.