FAMILY SMILES OF ENNIS PC (NPI# 1215237771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215237771 |
| Entity Type | Organization |
| Organization Name | FAMILY SMILES OF ENNIS PC |
| Practice Address |
1012 E Ennis Ave Ennis TX 75119-4345 |
| Mailing Address |
8337 Summer Park Dr Fort Worth TX 76123-1991 |
| Practice Telephone | 6172817947 |
| Mailing Telephone | 8173504943 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | DR. GUNJAN DHIR (DIRECTOR) |
| Authorized Official Telephone | 6172817947 |
| Authorized Official Credential | BDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24348 | TX | Dental Providers |
| Street Address |
1012 E ENNIS AVE |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821471061 | Ennis Dental Pllc | Dentist | 1012 E Ennis Ave, Suite C, Ennis, TX 75119-4345 | 2015-07-07 |
| 1114272903 | Nasim Salim | Dentist | 1012 E Ennis Ave, Suite C, Ennis, TX 75119-4345 | 2012-07-17 |
| 1437414620 | Ravindranath Reddy Veeram Reddy | Dentist | 1012 E Ennis Ave, Suite C, Ennis, TX 75119 | 2012-07-12 |
| 1487952164 | Grill Repair, Pa | Dentist | 1012 E Ennis Ave, Ennis, TX 75119-4345 | 2011-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| 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 |
|---|---|---|---|---|
| 1912560103 | Nguyen & Ho Real Estate Company LLC | Dentist | 900 W Ennis Ave Ste 105, Ennis, TX 75119-3738 | 2019-04-15 |
| 1366826323 | Brooke Lowe | Dentist | 1011 E Ennis Ave Ste A, Ennis, TX 75119-4352 | 2015-07-18 |
| 1053722884 | Ennis Ave. Pllc | Dentist | 710 W Ennis Ave, Ennis, TX 75119-3808 | 2014-05-14 |
| 1598949968 | Martha Xiomara Pamphile | Dentist | 206 Eagles View Dr, Ennis, TX 75119-9305 | 2007-12-20 |
| 1225196264 | Larry W. Treadaway, D.d.s., Inc. | Dentist | 504 S Clay St, Ennis, TX 75119-4551 | 2006-12-04 |
| 1417036500 | C J Gossett | Dentist | 2409 Yorkstown Dr, Ennis, TX 75119 | 2006-11-02 |
| 1821471061 | Ennis Dental Pllc | Dentist | 1012 E Ennis Ave, Suite C, Ennis, TX 75119-4345 | 2015-07-07 |
| 1437414620 | Ravindranath Reddy Veeram Reddy | Dentist | 1012 E Ennis Ave, Suite C, Ennis, TX 75119 | 2012-07-12 |
| 1649433640 | Lindsey Marie Clark-fass | Dentist | 504 S Clay St, Ennis, TX 75119-4551 | 2008-07-09 |
| 1952564239 | Larry Woodfin Treadaway | Dentist | 504 S Clay St, Ennis, TX 75119-4551 | 2008-07-07 |
| Find all providers in ENNIS | ||||
Please comment or provide details below to improve the information on FAMILY SMILES OF ENNIS PC.
| 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.