Smiles of Waterbury, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES OF WATERBURY, LLC

Practice address

1127 W Main St
Waterbury, CT 06708-2764

Phone

(203) 527-4614

Fax

(203) 527-4814

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Angelina Santa Maria

Title

Business/Finance Manager

Phone

(860) 997-0569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1033531124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082764",
            "telephone_number": "203-527-4614",
            "fax_number": "203-527-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082764",
            "telephone_number": "203-527-4614",
            "fax_number": "203-527-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF WATERBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "BUSINESS/FINANCE MANAGER",
        "authorized_official_telephone_number": "860-997-0569"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smart Billing Solutions LLC
• Smart Billing Solutions LLC
• Kimberly Mae Smead, MSPT
• Smile and Shine Dental, LLC
• Smile and Shine Waterbury
• Alexandria Smith, APRN
• Donald Joseph Smith Jr.
• Fiona Smith
• Heather Smith
• Kelly Smith

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.