ALL SMILES DENTAL PROFESSIONALS, PC (NPI# 1114058914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114058914 |
| Entity Type | Organization |
| Organization Name | ALL SMILES DENTAL PROFESSIONALS, PC |
| Other Organization Name | ALL SMILES DENTAL CENTER, PA |
| Practice Address |
2628 Matlock Rd Arlington TX 76015-2525 |
| Mailing Address |
4901 Lbj Freeway Suite 400 Dallas TX 75244-6158 |
| Practice Telephone | 8174683077 |
| Practice Fax Number | 8174602876 |
| Mailing Telephone | 2143425757 |
| Mailing Fax Number | 2143404868 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. ADRIAN CODEL (OWNER) |
| Authorized Official Telephone | 2146425757 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
16206 | TX | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16206 | TX | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1479404-13 | 05 | |
| TX | 147940403 | 05 | |
| TX | 147940410 | 05 | |
| TX | 147940404 | 05 | |
| TX | 147940406 | 05 | |
| TX | 147940411 | 05 | |
| TX | 147940405 | 05 | |
| TX | 147940408 | 05 | |
| TX | 147940401 | 05 | |
| TX | 147940409 | 05 | |
| TX | 147940407 | 05 | |
| TX | 147940412 | 05 |
| Other Name | Type Code |
|---|---|
| All Smiles Dental Center, PA | Former Legal Business Name - Organization |
| Street Address |
2628 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209161 | Brident Dental Associates PC | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2019-01-14 |
| 1043651961 | South Texas Dental Associates, Lp | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2013-07-08 |
| 1689913642 | Carla A Lisson-smith | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2013-02-11 |
| 1184936726 | Craig Fleming Copeland | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2010-07-12 |
| 1386892453 | Ioana Alexandra Porfir | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2008-09-03 |
| 1043410301 | Reza Zamanian | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2007-07-24 |
| 1740301639 | Amanda M James | Dentist | 2628 Matlock Rd, Arlington, TX 76015-2525 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1184091340 | I-20 Oral Surgery Pllc | Dentist | 2200 W I 20, Suite 300, Arlington, TX 76017-1648 | 2015-08-24 |
| 1235526328 | Ryan Patel | Dentist | 1340 S Rolfe St, Arlington, VA 22204-4750 | 2015-04-16 |
| 1306067004 | James Hadley Hall | Dentist | 2304 Interstate 20 W, #150, Arlington, TX 76017-1668 | 2007-05-01 |
| 1548328222 | Paul Edward Menton | Dentist | 847 W Mitchell St, Arlington, TX 76013-2506 | 2006-12-05 |
| 1306915673 | John V Shroyer | Dentist | 2712 Matlock Rd, Arlington, TX 76015 | 2006-11-08 |
| 1215919337 | Haroon Ismaili | Dentist | 2304 W Interstate 20, Suite 150, Arlington, TX 76017-1668 | 2005-11-15 |
| 1306842273 | Stephen C Walters | Dentist | 2200 West Interstate 20, Suite 300, Arlington, TX 76017 | 2005-06-24 |
| Find all providers in ARLINGTON | ||||
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| 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.