ELEGANT SMILES


Address: 17610 Midway Rd Ste 110, Dallas, TX 75287-6741
Phone: 9727358900

ELEGANT SMILES (NPI# 1417264524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417264524
Entity Type Organization
Organization Name ELEGANT SMILES
Practice Address 17610 Midway Rd Ste 110
Dallas
TX 75287-6741
Practice Telephone 9727358900
Mailing Telephone 9727358900
Enumeration Date 2010-09-10
Last Update Date 2010-09-10
Authorized Official Name MR. SASAN KHODABAKHSH (DENTIST/OWNER/PRESIDENT)
Authorized Official Telephone 9727358900
Authorized Official Credential D.D.S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 22300 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 1732828-09 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902103807 Elegant Smiles Dentist 4425 N 24th St Ste 100, Phoenix, AZ 85016-5513 2011-02-11

Office Location

Street Address 17610 MIDWAY RD STE 110
City DALLAS
State TX
Zip Code 75287-6741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366924383 Custom Dental of Carrollton, Pllc Clinic/Center 17610 Midway Rd Ste 110, Dallas, TX 75287-6741 2018-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356846307 Personal Health Assessment Internal Medicine 18320 Michael Angelo Drive, Dallas, TX 75287 2018-03-29
1275051807 Vermelle Minor Prosthetist 4341 Horizon Pkwy 132, Dallas, TX 75287 2017-09-04
1831629625 Tumikee Perry Counselor 2903 Renaissance Circle, Dallas, TX 75287 2017-06-14
1326594177 Sweta Sheth Dds Dentist 18217 Midway Road #122, Dallas, TX 75287 2016-08-31
1003288259 Hamid Reza Pirnajmedin Specialist/Technologist, Other 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 2015-10-28
1013307313 Kaelee Rae Kail Occupational Therapist 17480 Dallas Pkwy # 400, Dallas, TX 75287 2015-01-26
1568875318 Nicole Carvacho Physical Therapist 17480 North Dallas Tollway, Addison, TX 75287 2014-06-10
1326451873 Holly Davis Speech-Language Pathologist 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 2014-06-03
1033520077 Tammy Duran Non-emergency Medical Transport (VAN) 3653 Briargrove Lane, 1513, Dallas, TX 75287 2014-05-13
1518393206 Cole Wellness Center Home Health 4820 Sea Pine, Dallas, TX 75287 2013-09-25
Find all providers in zip 75287

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255938296 Cameron Togrye Dentist 5215 Belmont Ave Apt 7308, Dallas, TX 75206-7598 2020-10-02
1376155762 Thy Hong Nguyen Dentist 17721 Dallas Pkwy Ste 106, Dallas, TX 75287-7338 2020-08-18
1043820590 Ronald Mauricio Velasquez Dentist 611 N Bishop Ave Ste 102, Dallas, TX 75208-4361 2020-08-08
1629688767 Corbin Reed Alhadef Dentist 8226 Douglas Ave Ste 753, Dallas, TX 75225-5929 2020-08-04
1942819883 Gabrielle Kubas Dentist 775 Peavy Rd, Dallas, TX 75218-2175 2020-07-27
1134738156 Erin Medina Dentist 7510 E Grand Ave Apt 1304, Dallas, TX 75214-4163 2020-07-26
1841816790 Faisal Abdul Rehman Dentist 14041 Preston Rd Apt 1506e, Dallas, TX 75254-3491 2020-06-16
1790307726 Seyedeh Delaram Abaei Dentist 8610 Greenville Ave Ste 150, Dallas, TX 75243-7159 2020-05-13
1396377594 Fresca Dental Pllc Dentist 10121 Lake June Rd Ste 118, Dallas, TX 75217-5345 2020-02-06
1104456276 Eduardo Guzman-almaguer Dentist 4228 N Central Expy Ste 120, Dallas, TX 75206-6548 2020-01-17
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75287

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Dataset Information

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.

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