Creating Smiles Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053693-1 Issued in NY

Legal business name

CREATING SMILES FAMILY DENTAL

Practice address

1025 Broad St
Ste 3
Bloomfield, NJ 07003-2844

Phone

(973) 338-1100

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth SandovalNPI 1457547937

Title

Owner

Phone

(973) 338-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Sandoval, DMD

  • General Practice Dentistry
  • Bloomfield, NJ
  • NPI 1457547937
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1063867117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BROAD ST",
            "address_2": "STE 3",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032844",
            "telephone_number": "973-338-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BROAD ST",
            "address_2": "STE 3",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032844",
            "telephone_number": "973-338-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SMILES FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-338-1100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Cox, LAC
• Raluca Coyle, M.D.
• Amelia Coyne
• CP Primary Care PC
• CPL Park Manor LLC (Park Manor Nursing and Rehabilitation Center)
• Michael M Credico, D.C.
• Charles M. Cummins, O.D.
• Curain Healthcare Services (Synergy Home Care of Clifton-Secaucus)
• Arielle Elyssa Curtis
• Brandon Dalambert

• General Practice Dentistry in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.