WICHITA SMILES (NPI# 1154708162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154708162 |
| Entity Type | Organization |
| Organization Name | WICHITA SMILES |
| Other Organization Name | SMART MOUTH FAMILY DENTAL |
| Practice Address |
2120 Virginia Dr Ste A Wichita Falls TX 76309-4646 |
| Practice Telephone | 9407615979 |
| Practice Fax Number | 9034651134 |
| Mailing Telephone | 9407615979 |
| Mailing Fax Number | 9034651134 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | DR. JEFFREY BULLOCK JOHNSON (DENTIST) |
| Authorized Official Telephone | 9407615979 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30183 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smart Mouth Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780047522 | Wichita Smiles | Dentist | 2120 Virginia Dr Ste A, Wichita Falls, TX 76309-4646 | 2016-03-30 |
| Street Address |
2120 VIRGINIA DR STE A |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76309-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780047522 | Wichita Smiles | Dentist | 2120 Virginia Dr Ste A, Wichita Falls, TX 76309-4646 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568093037 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 2412 Avenue H, Wichita Falls, TX 76309 | 2020-02-03 |
| 1780814301 | Bestcare Specialty Services, Inc. | Home Health | 3908 Kell Blvd. West, Apt. 236, Wichita Falls, TX 76309 | 2009-07-16 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1972604569 | Internal Medicine Associates | Internal Medicine | 1413 Tanglewood Dr, Wichita Falls, TX 76309 | 2006-09-26 |
| 1669888061 | Tools for Success Coaching, Counseling & Consulting Pllc | Registered Nurse | 3100 10th St, Wichita Falls, TX 76309 | 2014-07-07 |
| 1982897724 | Rr Recovery, LLC | Substance Abuse Rehabilitation Facility | 2501 Taylor St, Wichita Falls, TX 76309 | 2007-08-24 |
| 1932399581 | Erica Coe Goss | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-07-30 |
| 1831316694 | Michael W. Spiller Jr. | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-04-20 |
| 1417126756 | Patricia Nau Kennedy | Counselor | 1601 Brazos St, Wichita Falls, TX 76309-1423 | 2008-02-20 |
| 1245473883 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 3811 Seymour Hwy, Wichita Falls, TX 76309-1601 | 2009-04-13 |
| Find all providers in zip 76309 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135087 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3916 Call Field Rd, Ste 600, Wichita Falls, TX 76308-2693 | 2016-02-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1669894267 | Shilpa Karri | Dentist | 3901 Kemp Blvd, Wichita Falls, TX 76308-2118 | 2014-01-16 |
| 1720320252 | Jason Leet | Dentist | 4810 Earl St, Wichita Falls, TX 76302-3902 | 2013-03-22 |
| 1295003671 | Dental Works | Dentist | 2515 East Elliott St, R, Wichita Falls, TX 76308 | 2011-12-13 |
| 1407010457 | Paul Steven Bonner | Dentist | 1 Eureka Cir, Suite 103, Wichita Falls, TX 76308-2929 | 2008-07-17 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1366594822 | Tracy Jill Hill | Dentist | 2211 Midwestern Parkway, Suite 5, Wichita Falls, TX 76308-2388 | 2007-01-17 |
| 1073685806 | Horace Oscar Boston | Dentist | 505 Brook Avenue, Suite A, Wichita Falls, TX 76301 | 2006-11-15 |
| 1043399637 | Robert Stanley Polovy | Dentist | 2925 Southwest Pkwy Ste 500, Wichita Falls, TX 76308-4100 | 2006-11-03 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76309 |
Please comment or provide details below to improve the information on WICHITA SMILES.
| 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.