Provider Demographics
NPI:1093067936
Name:PRESTON SMILES PLLC
Entity type:Organization
Organization Name:PRESTON SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NILAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-468-1401
Mailing Address - Street 1:18800 PRESTON RD
Mailing Address - Street 2:SUITE #311
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2449
Mailing Address - Country:US
Mailing Address - Phone:972-468-1401
Mailing Address - Fax:
Practice Address - Street 1:18800 PRESTON RD
Practice Address - Street 2:SUITE #311
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-2449
Practice Address - Country:US
Practice Address - Phone:972-468-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty