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ELEGANT SMILES
NPI 1417264524
Dentist in Dallas, TX

Active since September 10, 2010
17610 MIDWAY RD STE 110, DALLAS, TX 75287(972) 735-8900 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Elegant Smiles NPPES

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

ELEGANT SMILES (NPI 1417264524) is a healthcare organization registered as a dentist in Dallas, Texas and active in the NPI registry since September 2010. The organization lists Sasan Khodabakhsh, Dentist/owner/president, as its authorized official.

NPPES Registry Identity

NPI1417264524
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameELEGANT SMILES
Location Address17610 MIDWAY RD STE 110Dallas, TX 75287-6741
Mailing Address17610 Midway Rd Ste 110Dallas, TX 75287-6741 · (972) 735-8900
Phone(972) 735-8900
Organization SubpartNo
Authorized OfficialSasan KhodabakhshDentist/owner/president · (972) 735-8900
Enumeration DateSeptember 10, 2010
✔ NPI 1417264524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 22300
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.
17610 MIDWAY RD STE 110, Dallas, TX 75287
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Other Identifiers 1

Medicaid1732828-09TX

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KA PARK DMD PLLC
Dentist
17610 MIDWAY RD STE 110
DALLAS, TX 75287
Collin County (972) 735-8900
CUSTOM DENTAL OF CARROLLTON, PLLC
Clinic/Center (Dental)
17610 MIDWAY RD STE 110
DALLAS, TX 75287
Collin County (405) 227-6100

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 Elegant Smiles's NPI number?

The NPI number for Elegant Smiles is 1417264524. It was assigned to this organization in the NPPES registry on September 10, 2010.

Where is Elegant Smiles located?

Elegant Smiles is located at 17610 Midway Rd Ste 110, Dallas, TX 75287. The listed phone number is (972) 735-8900.

What is Elegant Smiles's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Elegant Smiles was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.