Evergrowing Smiles LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EVERGROWING SMILES LLC

Practice address

9 E Main St
Suite C
Moorestown, NJ 08057-3382

Phone

(856) 206-9255

Fax

(856) 206-9254

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

E. A. Stranquist

Title

Director of Operations

Phone

(856) 206-9255

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1063811230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "address_2": "SUITE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "address_2": "SUITE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGROWING SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "STRANQUIST",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "856-206-9255"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne V. Ernst, PSY.D.
• Ahmed Esmail, DMD
• Charles M. Esposito, D.M.D.
• Christopher V Esposito, DMD
• Genevieve Esposito, DPT
• Mary Jean Evers, LCSW
• Excalibur Medical Imaging, LLC
• Excalibur Medical Imaging, PA
• Excalibur Medical Imaging, PA
• Families First Healthcare, LLC.

• Pediatric Dentistry in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.