Lavon Smiles, PLLC
Dentist in Lavon, TX. Organization (NPI-2).
NPI number1144607474
StatusActive
Last updated in NPPESMay 6, 2015
Details
- NPI
- 1144607474
- Entity type
- Organization (NPI-2)
- Legal business name
- Lavon Smiles, PLLC
- Organization subpart
- No
- Enumeration date
- May 6, 2015
- Last updated
- May 6, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30271 | TX | Yes |
Other names
- Smart Mouth Family Dental (Doing Business As)
Practice location
440 State Highway 78 Ste 200Lavon, TX 75166-1266
Phone 844-408-9750 · Fax 903-465-1134
Mailing address
440 State Highway 78 Ste 200Lavon, TX 75166-1266
Phone 844-408-9750 · Fax 903-465-1134
Authorized official
Casey Draper
Owner/Dentist
8444089750
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