JS PEDODONTICS PLLC (NPI# 1497280408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497280408 |
| Entity Type | Organization |
| Organization Name | JS PEDODONTICS PLLC |
| Other Organization Name | SOARING SMILES PEDIATRIC DENTISTRY |
| Practice Address |
3555 National Drive Ste. 200 Plano TX 75025 |
| Practice Telephone | 2517862011 |
| Mailing Telephone | 2517862011 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | JONATHAN STUART SMITH (OWNER) |
| Authorized Official Telephone | 2517862011 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
29083 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Soaring Smiles Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
3555 NATIONAL DRIVE STE. 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654090 | Jeffrey Carl Jaynes | Dentist | 5800 Coit Rd Ste 600, Plano, TX 75023-5946 | 2016-04-14 |
| 1750774485 | Rei Iwase | Dentist | 4552 Saint James Dr, Plano, TX 75024-4725 | 2015-03-04 |
| 1326472051 | Lucky Kids Dental, PC | Dentist | 2301 Coit Rd, Suite A, Plano, TX 75075 | 2013-08-29 |
| 1104185818 | Nathifa Smith | Dentist | 4865 Hedgcoxe Rd Ste 100, Plano, TX 75024-2409 | 2012-05-15 |
| 1699904938 | Khaled Jadid | Dentist | 2100 Hedgcoxe Rd Ste 150, Plano, TX 75025-3156 | 2009-07-08 |
| 1538311329 | Young Jin Choi | Dentist | 4500 Legacy Dr Ste 300, Plano, TX 75024 | 2008-10-13 |
| 1750553087 | Julie David | Dentist | 6513 Preston Rd Ste 500, Plano, TX 75024-2711 | 2008-03-26 |
| 1891995783 | Jie Su | Dentist | 4500 Legacy Dr, Suite 300, Plano, TX 75024-2179 | 2007-07-19 |
| 1083833081 | Steve Layton Dds Msd Inc | Dentist | 3721 W 15th, Suite 605, Plano, TX 75075 | 2007-04-25 |
| 1730197898 | Sandra Kaye Mcdougal | Dentist | 400 Maplelawn Ct, Ste 103, Plano, TX 75075-5736 | 2006-08-04 |
| Find all providers in PLANO | ||||
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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.