Smile New York Outreach LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7003272R Issued in NY

Legal business name

SMILE NEW YORK OUTREACH LLC

Practice address

3100 47TH Ave
Long Island City, NY 11101-3013

Phone

(718) 361-6160

Fax

(718) 361-1660

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Paul Schlang, DENTIST

Title

Dental Director

Phone

(888) 833-8441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1063794618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 47TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013013",
            "telephone_number": "718-361-6160",
            "fax_number": "718-361-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 47TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013013",
            "telephone_number": "718-361-6160",
            "fax_number": "718-361-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE NEW YORK OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "SCHLANG",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "7003272R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rain Haile Skinner
• Elizabeth Sklerov
• Wlodek Skranovski, M.D.
• Skyline Credit Ride Inc.
• Skyline Dental
• Ashley T Smith
• Erica Lynne Smith, LCSW
• Keiron Smith, RN
• Kimoy Smith
• Saviana Smith

• Dental Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.