Smile More Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE MORE FAMILY DENTAL, LLC

Practice address

1117 Main Ave
Crete, NE 68333-2259

Phone

(402) 826-2488

Fax

(402) 826-5190

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda J Dean

Title

Owner/Manager

Phone

(402) 826-2488

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bruce Orval Kennedy, D.D.S.

  • General Practice Dentistry
  • Crete, NE
  • NPI 1871517078
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1023779535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683330188",
            "telephone_number": "402-826-2488",
            "fax_number": "402-826-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332259",
            "telephone_number": "402-826-2488",
            "fax_number": "402-826-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MORE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "402-826-2488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Marie Sheets, DNP, FNP-C
• Allison R Sheibal
• Shopko Stores Operating Co LLC
• Judith Rose Siedhoff
• Mary T Sincebaugh, APRN
• Fanny Smith
• Miranda L Smith
• Tyrone Smith
• Blaine Spanjer
• McKenna Squires

• General Practice Dentistry in Crete, NE
• Providers in Crete, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.