SMILE ISLAND DENTAL, PLLC (NPI# 1700045861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700045861 |
| Entity Type | Organization |
| Organization Name | SMILE ISLAND DENTAL, PLLC |
| Practice Address |
6513 Preston Rd Suite 500 Plano TX 75024-2688 |
| Practice Telephone | 9723786762 |
| Practice Fax Number | 9723786771 |
| Mailing Telephone | 9723786762 |
| Mailing Fax Number | 9723786771 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | JENNIFER WEEMS (OFFICE MANAGER) |
| Authorized Official Telephone | 9723786762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
16742 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1583841-01 | 05 |
| Street Address |
6513 PRESTON RD SUITE 500 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882263 | Thomas A West | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2005-06-21 |
| 1972970036 | Skin and Radiation Specialists Pllc | Radiology | 6513 Preston Rd, Suite 300, Plano, TX 75024-2694 | 2015-08-25 |
| 1992182703 | Brachytherapy Centers of Texas LLC | Radiology | 6513 Preston Rd, Suite #300, Plano, TX 75024-2688 | 2015-04-30 |
| 1487952909 | Elective Surgical Care Specialists,pllc | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2011-03-08 |
| 1366646143 | Elizabeth Carroll Kim | Surgery | 6513 Preston Rd, Plano, TX 75024-2688 | 2007-06-13 |
| 1609964394 | Mark O Tucker | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-10-10 |
| 1619071925 | Craig Owen Daniel | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-09-08 |
| 1982719837 | Tiffany Merrill Ketzle | Nurse Practitioner | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-08-20 |
| 1215971247 | John D Josephs | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-16 |
| 1205878766 | Kent K Skipper | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1942654090 | Jeffrey Carl Jaynes | Dentist | 5800 Coit Rd Ste 600, Plano, TX 75023-5946 | 2016-04-14 |
| 1750774485 | Rei Iwase | Dentist | 4552 Saint James Dr, Plano, TX 75024-4725 | 2015-03-04 |
| 1326472051 | Lucky Kids Dental, PC | Dentist | 2301 Coit Rd, Suite A, Plano, TX 75075 | 2013-08-29 |
| 1104185818 | Nathifa Smith | Dentist | 4865 Hedgcoxe Rd Ste 100, Plano, TX 75024-2409 | 2012-05-15 |
| 1699904938 | Khaled Jadid | Dentist | 2100 Hedgcoxe Rd Ste 150, Plano, TX 75025-3156 | 2009-07-08 |
| 1538311329 | Young Jin Choi | Dentist | 4500 Legacy Dr Ste 300, Plano, TX 75024 | 2008-10-13 |
| 1750553087 | Julie David | Dentist | 6513 Preston Rd Ste 500, Plano, TX 75024-2711 | 2008-03-26 |
| 1891995783 | Jie Su | Dentist | 4500 Legacy Dr, Suite 300, Plano, TX 75024-2179 | 2007-07-19 |
| 1083833081 | Steve Layton Dds Msd Inc | Dentist | 3721 W 15th, Suite 605, Plano, TX 75075 | 2007-04-25 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on SMILE ISLAND DENTAL, PLLC.
| 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.