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

Smile & Aesthetics 360 Dental & Medspa

Organization General Practice Dentistry · NPI 1093550733

Smile & Aesthetics 360 Dental & Medspa is a General Practice Dentistry in Dallas, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

12606 Greenville Ave Ste 230
Dallas, TX 75243-1921
Phone: (219) 308-7221
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1093550733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juveria Fakhruddin — Dentist · (219) 308-7221
NPI enumeratedJune 25, 2024
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address708 Nickelville Ln, Wylie, TX 75098-5395

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