SMILE STUDIO PLLC (NPI# 1053727628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053727628 |
| Entity Type | Organization |
| Organization Name | SMILE STUDIO PLLC |
| Practice Address |
1772 W Church St Livingston TX 77351-9005 |
| Mailing Address |
1772 West Church St Livingston TX 77845 |
| Practice Telephone | 9363277550 |
| Mailing Telephone | 9363277550 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | PAVAN CHILUVOJU (OWNER) |
| Authorized Official Telephone | 9363277550 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28728 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043632 | Smile Studio Pllc | Clinic/Center | 1428 Dorchester Ave # 1, Dorchester, MA 02122-2922 | 2020-08-11 |
| Street Address |
1772 W CHURCH ST |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026086 | Smile Studio-livingston Pllc | Dentist | 1772 W Church St, Livingston, TX 77351-9005 | 2019-01-07 |
| 1629550835 | Livingston Smiles Pllc | Dentist | 1772 W Church St, Livingston, TX 77351-9005 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368697 | Jeffrey E Fine | Dentist | 160 Rainbow Dr # 6051, Livingston, TX 77399-1060 | 2018-03-05 |
| 1205229655 | Livingston Family Dentistry, Pllc | Dentist | 411 Yaupon Ave, Livingston, TX 77351-2664 | 2015-03-10 |
| 1902205420 | Vanna Nicole Stone | Dentist | 201 S Livingston Ave Ste 2c, Livingston, NJ 07039-4040 | 2014-08-20 |
| 1780097527 | Scott Schwartz | Dentist | 9 Cornerstone Way, Livingston, NJ 07039-9999 | 2014-06-10 |
| 1174882328 | Ralph K Jenke Dds & Associates Pa Dba Polk County Dental Care | Dentist | 1114 N Washington Ave, Livingston, TX 77351-2336 | 2012-05-09 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| 1306019245 | George T. King | Dentist | 1648 Joseph St, Livingston, CA 95334-1632 | 2008-04-11 |
| 1942424353 | Stuart Arnold Farbman | Dentist | 205 E. Mt. Pleasant Ave., Livingston, NJ 07039 | 2007-04-13 |
| 1649398652 | Maria Victoria Sebastian | Dentist | 349 E Northfield Rd Ste 211, Livingston, NJ 07039-4806 | 2007-03-27 |
| 1225155070 | Luther Greene Puckett Iv | Dentist | 508 N Church St, Livingston, TN 38570-1539 | 2007-03-26 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on SMILE STUDIO 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.