Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elegant Smiles

Organization Dentist · NPI 1417264524

Elegant Smiles is a Dentist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Phone: (972) 735-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22300 (TX)

Record details

NPI number1417264524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sasan Khodabakhsh — Dentist/Owner/President · (972) 735-8900
NPI enumeratedSeptember 10, 2010
Last updated in NPPESSeptember 10, 2010
Mailing address17610 Midway Rd Ste 110, Dallas, TX 75287-6741

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