Professional Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6121 Issued in AL

Legal business name

PROFESSIONAL SMILES, LLC

Practice address

5291 Valleydale Rd Ste 129
Birmingham, AL 35242-7707

Phone

(205) 995-3989

Fax

(205) 995-3990

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Sunny Chung

Title

Business Manager

Phone

(706) 201-1002

Specialties & licenses 1

Addresses

Other names 1

• Inverness Smiles Doing business as

Locations

Practitioners 1

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

• Carmel M Lecorps, DMD

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1023239050
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1013407923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 BERMUDA DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103028",
            "telephone_number": "706-201-1002",
            "fax_number": "205-995-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5291 VALLEYDALE RD STE 129",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427707",
            "telephone_number": "205-995-3989",
            "fax_number": "205-995-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-201-1002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inverness Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prohealth Home Health-Tennessee, LLC
• Prohealth Home Health, LLC

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.