Smile on South Broadway Dental PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE ON SOUTH BROADWAY DENTAL PC

Practice address

107 S Broadway
Yonkers, NY 10701-4006

Phone

(914) 378-8123

NPI assigned

Jul 16, 2016

Organization subpart

No

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

Authorized official

Name

Adom Crew

Title

President

Phone

(914) 378-8123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468627200000",
    "number": "1033562830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ON SOUTH BROADWAY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "ADOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-378-8123"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slawomir Malendowicz MD PC
• Sloane Stecker Physical Therapy & Occupational Therapy LLP
• Ilan Small
• Reesa Smart, OD
• Katarzyna Smigielska, NP
• Alexis Smith
• Annette Acheampong Smith
• Brendan Smith, MD, MS, MSCBR
• Christopher Lennon Smith
• Courtney Monay Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; 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.