Li Smile Design Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LI SMILE DESIGN DENTISTRY PC

Practice address

1750 5TH Ave Ste 8
Bay Shore, NY 11706-3438

Phone

(631) 388-5967

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Porfirio A Nunez, DDSNPI 1023238326

Title

Owner/Dentist

Phone

(631) 388-5967

Specialties & licenses 1

Addresses

Other names 1

• LI Smile Design Dentistry PC 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.

• Porfirio A Nunez, DDS

  • General Practice Dentistry
  • Huntington Station, NY
  • NPI 1023238326
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1063272136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 5TH AVE STE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063438",
            "telephone_number": "631-388-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 5TH AVE STE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063438",
            "telephone_number": "631-388-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI SMILE DESIGN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "PORFIRIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "631-388-5967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LI Smile Design Dentistry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marykay Levitt, REGISTER NURSE
• Jennifer Levy, LMSW
• Stephen Allan Lewen, MD
• Heather Lewis, NP
• Louis Michael Leyden, DPM
• Lorraine Min-Shan Liang, MD
• Yvette M. Libert, RPA-C
• Rachel Anjelica Licea, MD
• Jacqueline Marjorie Lichtenstein, PA-C
• Dustin Liebling, M.D.

• General Practice Dentistry in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.