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SMILEY DENTAL WALNUT PLLC NPI 1154470003


NPI Information

NPI: 1154470003
Provider Name: SMILEY DENTAL WALNUT, PLLC

Former Legal Business Name: MEDALLION SMILEY DENTAL, PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4431 W WALNUT ST
#A
GARLAND, TX
ZIP 75042
Phone: (972) 485-1200
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SMILEY DENTAL WALNUT, PLLC is a general practice dentist in Garland, TX. The provider is 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. SMILEY DENTAL WALNUT, PLLC NPI is 1154470003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Medallion Smiley Dental, Pllc.

The provider's business location address is:

4431 W WALNUT ST
#A
GARLAND, TX
ZIP 75042
Phone: (972) 485-1200
Fax: (972) 485-1211

The provider's authorized official is Lynh Thy T Pham .
The authorized official title is President/owner and has the following contact phone number (214) 466-1400.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 12/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice19887TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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