MEDICARE: SUPREME SMILES ARLINGTON, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1336077486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPREME SMILES ARLINGTON, PLLC

Provider Business Mailing Address
First Line	:	847 W MITCHELL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 W MITCHELL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2506
Country	:	US
Telephone Number	:	817-875-0273
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMJAD SALEH
Credential	:	DDS
Telephone Number	:	817-875-0273

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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