Provider Demographics
NPI:1245821578
Name:STIMPSMILES, PLLC
Entity type:Organization
Organization Name:STIMPSMILES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:NOELE
Authorized Official - Last Name:STIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-208-3872
Mailing Address - Street 1:4041 W WHEATLAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4069
Mailing Address - Country:US
Mailing Address - Phone:972-283-2700
Mailing Address - Fax:972-283-2709
Practice Address - Street 1:4041 W WHEATLAND RD STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4069
Practice Address - Country:US
Practice Address - Phone:972-283-2700
Practice Address - Fax:972-283-2709
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STIMPSMILES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-29
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice