OrganizationActive
Elegant Smiles
NPI 1417264524 · Dentist · Dallas, TX
Elegant Smiles is a Dentist organization in Dallas, TX (NPI 1417264524).
Provider details
- NPI number
- 1417264524
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sasan Khodabakhsh, Dentist/Owner/President(972) 735-8900
- License
- 22300 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Phone: (972) 735-8900
Street-level locationGet directions
Mailing address
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Registry dates
- Enumerated
- 2010-09-10
- Last updated
- 2010-09-10
Frequently asked questions
- What is Elegant Smiles's NPI number?
- Elegant Smiles's National Provider Identifier (NPI) is 1417264524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elegant Smiles?
- Elegant Smiles is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Elegant Smiles located?
- Elegant Smiles's practice location on file with NPPES is 17610 Midway Rd Ste 110, Dallas, TX 75287-6741.
- What is Elegant Smiles's phone number?
- The practice phone number listed in the NPPES registry for Elegant Smiles is (972) 735-8900.
- Who is the authorized official for Elegant Smiles?
- The authorized official listed on Elegant Smiles's NPPES record is Sasan Khodabakhsh, Dentist/Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elegant Smiles's NPI active?
- Yes — Elegant Smiles's NPI (1417264524) is active in the NPPES registry as of the last update on 2010-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.