Organization Active NPI

Smile Sanctuary

  • General Practice Dentistry
  • Saltsburg, PA
National Provider Identifier
1003771031
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE SANCTUARY
Practice address
307 Point St Ste 5
Saltsburg, PA 15681-1167
Phone
(724) 639-3399
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Coriann Stout, RDHNPI 1891420105
Title
Partner
Phone
(724) 396-5296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

307 Point St Ste 5
Saltsburg, PA 15681-1167

Mailing address

307 Point St Ste 5
Saltsburg, PA 15681-1167
Phone (724) 639-3399

National Provider Directory

National Provider Directory

Locations

307 Point St
Ste 5
Saltsburg, PA 15681
Phone (724) 639-3399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1003771031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 POINT ST STE 5",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811167",
            "telephone_number": "724-639-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 POINT ST STE 5",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811167",
            "telephone_number": "724-639-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "CORIANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "724-396-5296",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.