GREEN DENTISTRY OF LEANDER – NPI #1063198620
Clinic/Center

GREEN DENTISTRY OF LEANDER is an AHC clinic located in LEANDER, TX. NPPES has assigned the NPI number 1063198620 to GREEN DENTISTRY OF LEANDER on June 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREEN DENTISTRY OF LEANDER” is a dba name, the actual legal business name for this organization is SM DENTAL PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREEN DENTISTRY OF LEANDER below.

NPI Profile for
SM DENTAL PLLC

NPI Number
1063198620
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SM DENTAL PLLC
Doing Business As (dba): GREEN DENTISTRY OF LEANDER
Primary location
13920 RONALD REAGAN BLVD
SUITE 210
LEANDER, TX 78641
Phone: (737) 777-6226 Fax: (737) 777-6220
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JIHOON SON
DENTIST
Phone: (773) 655-8827
Updated
Certification Date
Jun 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.