SMILE & AESTHETICS 360 DENTAL & MEDSPA - NPI 1093550733

Q: What is Smile & Aesthetics 360 Dental & Medspa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

On this page

About Smile & Aesthetics 360 Dental & Medspa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE & AESTHETICS 360 DENTAL & MEDSPA (NPI 1093550733) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since June 2024. The organization lists Juveria Fakhruddin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1093550733

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMILE & AESTHETICS 360 DENTAL & MEDSPA

Location Address12606 GREENVILLE AVE STE 230Dallas, TX 75243-1921

Mailing Address708 Nickelville LnWylie, TX 75098-5395 · (219) 308-7221

Phone(219) 308-7221

Organization SubpartNo

Authorized OfficialJuveria FakhruddinDentist · (219) 308-7221

Enumeration DateJune 25, 2024

Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1093550733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

12606 GREENVILLE AVE STE 230, Dallas, TX 75243

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile & Aesthetics 360 Dental & Medspa's NPI number?

The NPI number for Smile & Aesthetics 360 Dental & Medspa is 1093550733. It was assigned to this organization in the NPPES registry on June 25, 2024.

Where is Smile & Aesthetics 360 Dental & Medspa located?

Smile & Aesthetics 360 Dental & Medspa is located at 12606 Greenville Ave Ste 230, Dallas, TX 75243. The listed phone number is (219) 308-7221.

What is Smile & Aesthetics 360 Dental & Medspa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Smile & Aesthetics 360 Dental & Medspa accept?

Health plans from UnitedHealthcare list Smile & Aesthetics 360 Dental & Medspa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smile & Aesthetics 360 Dental & Medspa was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.