Provider Demographics
NPI:1427222926
Name:ST. FRANCIS SMILES, PLLC
Entity Type:Organization
Organization Name:ST. FRANCIS SMILES, PLLC
Other - Org Name:ALL SMILES DENTAL & ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CODEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-342-5757
Mailing Address - Street 1:4901 LBJ FREEWAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6158
Mailing Address - Country:US
Mailing Address - Phone:214-342-5757
Mailing Address - Fax:214-340-4868
Practice Address - Street 1:8928 E RL THRTN FWY
Practice Address - Street 2:# 106
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6173
Practice Address - Country:US
Practice Address - Phone:214-389-9858
Practice Address - Fax:214-389-9862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty