SNJ Dental Studio, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SNJ DENTAL STUDIO, LLC

Practice address

3436 S Florida Ave Ste 100
Lakeland, FL 33803-4765

Phone

(863) 607-4700

Fax

(863) 607-4434

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Valerie Hamilton

Title

Director of Contracting

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Practitioners 4

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

• Ayham Al Momani, RDH

  • Dental Hygienist
  • Lakeland, FL
  • NPI 1043182835
  NPD
• Yarelis Cartagena, DMD

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1205077013
  NPD (past)
• Nicole Klein, D.M.D

  • General Practice Dentistry
  • Winter Haven, FL
  • NPI 1336588375
  NPD (past)
• Danielle Williams

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1629497367
  NPD (past)

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1083474340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 S FLORIDA AVE STE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034765",
            "telephone_number": "863-607-4700",
            "fax_number": "863-607-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNJ DENTAL STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynne Smith
• Tammy Smith
• Willesha Trevess Smith
• Zareja T Smith
• Brandon Snel, MD
• Susan R Snover, ED D CCC SLP
• Brett D. Snow, PHD
• Judy E Snow, ARNP
• Rodney L Snow, ARNP
• Analiza Snowball, RPT

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.