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ALL SMILES DENTAL PROFESSIONALS PC NPI 1114058914


NPI Information

NPI: 1114058914
Provider Name: ALL SMILES DENTAL PROFESSIONALS, PC

Former Legal Business Name: ALL SMILES DENTAL CENTER, PA

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2628 MATLOCK RD
ARLINGTON, TX
ZIP 76015
Phone: (817) 468-3077
Get Directions

ALL SMILES DENTAL PROFESSIONALS, PC is an oral and maxillofacial surgery dentist in Arlington, TX. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ALL SMILES DENTAL PROFESSIONALS, PC NPI is 1114058914. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is All Smiles Dental Center, Pa.

The provider's business location address is:

2628 MATLOCK RD
ARLINGTON, TX
ZIP 76015-525
Phone: (817) 468-3077
Fax: (817) 460-2876

The provider's authorized official is Adrian Codel .
The authorized official title is Owner and has the following contact phone number (214) 642-5757.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 2/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice16206TEXASNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics16206TEXASNo
31223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147940409MEDICAIDTEXAS
2147940404MEDICAIDTEXAS
3147940411MEDICAIDTEXAS
4147940403MEDICAIDTEXAS
5147940405MEDICAIDTEXAS
6147940408MEDICAIDTEXAS
7147940406MEDICAIDTEXAS
8147940401MEDICAIDTEXAS
91479404-13MEDICAIDTEXAS
10147940412MEDICAIDTEXAS
11147940407MEDICAIDTEXAS
12147940410MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.