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BLOSSOM SMILE DENTAL, PLLC
NPI 1285159137
Dentist - General Practice in Euless, TX

Active since August 11, 2017
305 W EULESS BLVD STE 100, EULESS, TX 76040(817) 793-0013(888) 600-6547 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2018, Aug 11, 2017 (2 updates tracked since 2017).

About Blossom Smile Dental, Pllc NPPES

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

BLOSSOM SMILE DENTAL, PLLC (NPI 1285159137) is a healthcare organization registered as a general practice in Euless, Texas and active in the NPI registry since August 2017. The organization lists Brian Le, President, as its authorized official.

NPPES Registry Identity

NPI1285159137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLOSSOM SMILE DENTAL, PLLC
Location Address305 W EULESS BLVD STE 100Euless, TX 76040-3842
Mailing Address305 W Euless Blvd Ste 100Euless, TX 76040-3842 · (817) 786-8621 · Fax (888) 600-6547
Phone(817) 793-0013
Fax(888) 600-6547
Organization SubpartNo
Authorized OfficialBrian LePresident · (817) 786-8621
Enumeration DateAugust 11, 2017
Last NPPES UpdateMarch 1, 20182 updates tracked since enumeration
✔ NPI 1285159137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
305 W EULESS BLVD STE 100, Euless, TX 76040
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Other Identifiers 1

Medicaid158687715TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Blossom Smile Dental, PLLC's NPI number?

The NPI number for Blossom Smile Dental, PLLC is 1285159137. It was assigned to this organization in the NPPES registry on August 11, 2017.

Where is Blossom Smile Dental, PLLC located?

Blossom Smile Dental, PLLC is located at 305 W Euless Blvd Ste 100, Euless, TX 76040. The listed phone number is (817) 793-0013.

What is Blossom Smile Dental, PLLC's specialty?

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

What insurance does Blossom Smile Dental, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Blossom Smile Dental, PLLC 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 Blossom Smile Dental, PLLC was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.