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General NPI Number Information
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NPI Number | 1114058914
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Entity Type | Organization
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Legal Business Name | ALL SMILES DENTAL PROFESSIONALS, PC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 2628 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2525
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Country | US
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Telephone | 817-468-3077
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Fax | 817-460-2876
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Provider Business Mailing Address
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Address Line | 4901 LBJ FREEWAY SUITE 400
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City | DALLAS
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State | TX
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Zip | 75244-6158
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Country | US
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Telephone | 214-342-5757
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Fax | 214-340-4868
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIAN CODEL
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Credential | DDS
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Telephone | 214-642-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16206
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 16206
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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