Provider Demographics
NPI:1891245866
Name:TOP SMILE ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:TOP SMILE ORTHODONTICS PLLC
Other - Org Name:TOP SMILE ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-998-9403
Mailing Address - Street 1:182 S COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4621
Mailing Address - Country:US
Mailing Address - Phone:214-998-9403
Mailing Address - Fax:866-892-0774
Practice Address - Street 1:182 S COLLINS RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4621
Practice Address - Country:US
Practice Address - Phone:214-998-9403
Practice Address - Fax:866-892-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNPI TYPE1Other1477843027