ALL SMILES DENTAL PROFESSIONALS PC NPI 1114058914

NPI Information

  • NPI: 1114058914
  • Provider Name: ALL SMILES DENTAL PROFESSIONALS, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Former Legal Business Name: ALL SMILES DENTAL CENTER, PA
  • Address: 2628 MATLOCK RD
    ARLINGTON, TX
    ZIP 76015
  • Phone: (817) 468-3077

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NPI Details

ALL SMILES DENTAL PROFESSIONALS, PC is an oral and maxillofacial surgery dentist in Arlington, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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