NPI 1114058914 · live from the CMS NPI Registry
All Smiles Dental Professionals, PC
Dentist, Oral and Maxillofacial Surgery in Arlington, TX. National Provider Identifier 1114058914, active.
NPI record
| NPI | 1114058914 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Oral and Maxillofacial Surgery 1223S0112X |
| Practice location | 2628 Matlock Rd, Arlington, TX 76015 |
| Practice phone | 817-468-3077 |
| Mailing address | 4901 Lbj Freeway, Suite 400, Dallas, TX 75244 |
| Enumerated | March 7, 2007 |
| Last updated | February 16, 2011 |
| Authorized official | Adrian Codel, Owner |
| Other names | All Smiles Dental Center, PA |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 16206 (TX) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 16206 (TX) |
| Dentist, Oral and Maxillofacial Surgery primary | 1223S0112X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.