# AFFINITY SMILES DENTAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AFFINITY SMILES DENTAL, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043575129
- **Legal business name:** AFFINITY SMILES DENTAL, PLLC
- **Authorized official:** CHUONG DO DDS (OWNER)
- **Authorized official phone:** (817) 966-0648

## Contact information

- **Practice address:** 6407 COLLEYVILLE BLVD, STE A, COLLEYVILLE, TX 76034-6228
- **Practice address phone:** (817) 421-1104
- **Practice address fax:** (817) 421-2006
- **Mailing address:** 6407 COLLEYVILLE BLVD, STE A, COLLEYVILLE, TX 76034-6228
- **Mailing address phone:** (817) 421-1104
- **Mailing address fax:** (817) 421-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 23837 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 23841 | TX | — |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012