SMILE SQUAD OF HOUSTON SHEPHERD PLLC


Address: 3800 N Shepherd Dr Ste 3-a, Houston, TX 77018-6400
Phone: 2817135780

SMILE SQUAD OF HOUSTON SHEPHERD PLLC (NPI# 1568088524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568088524
Entity Type Organization
Organization Name SMILE SQUAD OF HOUSTON SHEPHERD PLLC
Practice Address 3800 N Shepherd Dr Ste 3-a
Houston
TX 77018-6400
Practice Telephone 2817135780
Mailing Telephone 2817135780
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Authorized Official Name MATTHEW STREPKA (OWNER)
Authorized Official Telephone 2817135780
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 3800 N SHEPHERD DR STE 3-A
City HOUSTON
State TX
Zip Code 77018-6400

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NPI Name Taxonomy Address Enumeration
1033748611 Kourtni C Resnick Counselor 2180 North Loop West, Suite 300, Houston, TX 77018 2020-04-06
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1891221099 Jennifer Lyon Chore Provider 1222 Lehman, Houston, TX 77018 2017-05-08
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1164806485 Katie E Stuchlik Dentist 1717 West 34th Street, Suite 450, Houston, TX 77018 2015-07-16
1124436209 Martha Mattison Clinical Ethicist 501 Garden Oaks, Houston, TX 77018 2014-08-01
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1124377387 Dionne Tompkins Dentist 4040 Yale Street, Houston, TX 77018 2012-09-04
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1710592522 Georgi Talmazov Dentist 8299 Cambridge St Apt 102, Houston, TX 77054-3138 2020-09-09
1982218673 Marissa Fernandez Dentist 3527 Ozark St, Houston, TX 77021-1209 2020-09-01
1568075943 Omar Fawzi Ismael Dentist 909 Dairy Ashford Rd Ste 109, Houston, TX 77079-5306 2020-08-26
1972115830 Diana Dental Pllc Dentist 8619 Richmond Ave Ste 700, Houston, TX 77063-5688 2020-08-20
1861002388 Safa Nawazish Dentist 9000 Almeda Rd Apt 9107, Houston, TX 77054-4341 2020-08-10
1063037646 Veterans Dental Center Dentist 10403 Lark Rdg, Houston, TX 77070-4875 2020-06-10
1841814738 Texas Dental Associates, Pa Dentist 5230 Buffalo Speedway, Houston, TX 77005-4204 2020-06-05
1750910659 Ph Dentistry, PC Dentist 17619 Fm 529 Rd, Houston, TX 77095-1003 2020-04-03
1578199725 Zahra Meykadeh Dentist 6370 N Eldridge Pkwy Ste B, Houston, TX 77041-3517 2020-03-19
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Competitor

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City HOUSTON
Zip Code 77018

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Dataset Information

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.

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