# 380 SMILES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629538814
- **Authorized official:** VIMAL PATEL DDS (MANAGING MEMBER)
- **Authorized official phone:** (402) 650-7405

## Contact information

- **Practice address:** 4940 W. UNIVERSITY DR., SUITE 40, PROSPER, TX 75078
- **Practice address phone:** (402) 650-7405
- **Mailing address:** 5355 RANDWICK TRL, FRISCO, TX 75036-3996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 03/22/2019