Provider Demographics
NPI:1477350163
Name:T&T SMILES PLC
Entity type:Organization
Organization Name:T&T SMILES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-261-6376
Mailing Address - Street 1:7406 S ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7103
Mailing Address - Country:US
Mailing Address - Phone:585-261-6376
Mailing Address - Fax:
Practice Address - Street 1:15075 S. YALE AVE
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008
Practice Address - Country:US
Practice Address - Phone:585-261-6376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1740860139OtherCO-OWNERS NPI
OK1821678210OtherCO-OWNER'S NPI