Lifesmiles Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFESMILES FAMILY DENTISTRY, PLLC

Practice address

8100 Penn Ave S Ste 172
Bloomington, MN 55431-1325

Phone

(952) 884-8337

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Robert Huot, DDSNPI 1215427844

Title

Owner

Phone

(651) 238-1366

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Will Huot, DDS

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1215427844
  NPD Authorized official
• John Anton Gawlik Jr., D.D.S.

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1740314939
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1083398374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 172",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "952-884-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 172",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "952-884-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESMILES FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "HUOT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-238-1366",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.