JACKSBORO SMILES BY WIRE, PLLC (NPI# 1528211406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528211406 |
| Entity Type | Organization |
| Organization Name | JACKSBORO SMILES BY WIRE, PLLC |
| Other Organization Name | ALL SMILES DENTAL & ORTHODONTICS |
| Practice Address |
2480 Jacksboro Hwy Fort Worth TX 76114-2201 |
| Mailing Address |
4901 Lbj Freeway Suite 400 Dallas TX 75244-6158 |
| Practice Telephone | 8175290994 |
| Mailing Telephone | 2143425757 |
| Mailing Fax Number | 2143895844 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. ADRIAN CODEL (OWNER) |
| Authorized Official Telephone | 2143425757 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| All Smiles Dental & Orthodontics | Doing Business As Name - Organization |
| Street Address |
2480 JACKSBORO HWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76114-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917957 | Jennie Bauchert | Massage Therapist | 1205 Roaring Springs Rd., Ft Worth, TX 76114 | 2020-09-16 |
| 1417438243 | North Texas Area Community Health Centers, Inc | Pharmacy | 2332 Beverly Hills Drive Ste 1116, Ft. Worth, TX 76114 | 2018-08-29 |
| 1023525573 | Jennifer Christine Arriaga | Occupational Therapy Assistant | 125 Smallwood, Fort Worth, TX 76114 | 2018-01-05 |
| 1831617216 | Kailene Allis | Specialist/Technologist | 5519 Norte Dame Ave, River Oaks, TX 76114 | 2017-09-06 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| 1750771382 | Signature Family Dentistry Pllc | Dentist | 4839 River Oaks Blvd., River Oaks, TX 76114 | 2015-02-04 |
| 1447668223 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2245 Jacksonboro Hwy, Ft. Worth, TX 76114 | 2014-07-24 |
| 1558611897 | Walgreens | Pharmacist | 5716 Aton Ave, Westworth Village, TX 76114 | 2012-09-13 |
| 1437439551 | Ashley Kristen Murrey | Dentist | 6628 Westworth Blvd, Westworth Village, TX 76114 | 2011-08-20 |
| 1598054637 | Ashley Anne Trabon | Physician Assistant | 4819 River Oaks, Fort Worth, TX 76114 | 2011-03-29 |
| Find all providers in zip 76114 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1447898093 | Evan Perkins | Dentist | 4763 Barwick Dr Ste 107, Fort Worth, TX 76132-1531 | 2019-12-13 |
| 1578060943 | Irish Abigail Martinez Tongco | Dentist | 3201 Western Center Blvd Ste 115, Fort Worth, TX 76137-7135 | 2018-04-11 |
| 1306227731 | Lustig and Young Orthodontics | Dentist | 8450 Park Vista Blvd, Fort Worth, TX 76137-5731 | 2015-06-11 |
| 1588087027 | Nicole Mahoney | Dentist | 9040 Hawley Dr, Fort Worth, TX 76244-6120 | 2014-02-03 |
| 1841545597 | Braces R Us PC | Dentist | 8337 Summer Park Dr, Fort Worth, TX 76123-1991 | 2012-07-18 |
| 1063798718 | Timber Creek Orthodontics, P.a. | Dentist | 12650 N Beach St, Suite 100, Fort Worth, TX 76244-4243 | 2011-10-26 |
| 1134449663 | Access Orthodontics of Berry, P.a. | Dentist | 4201 E Berry St, Suite #15, Fort Worth, TX 76105-5053 | 2010-06-07 |
| 1366605719 | William G Paulus Dds Ms Inc | Dentist | 4901 Byers Ave, Fort Worth, TX 76107 | 2008-07-07 |
| 1801079124 | Ciro Cabal | Dentist | 5800 Boat Club Rd, Fort Worth, TX 76179-7773 | 2007-12-10 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76114 |
Please comment or provide details below to improve the information on JACKSBORO SMILES BY WIRE, 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.