Winning Smile Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO36432 Issued in PA

Legal business name

WINNING SMILE DENTISTRY

Practice address

702 Southern Ave
Mount Washington, PA 15211-2253

Phone

(412) 726-3797

Fax

(412) 481-0192

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By 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

Dr. Akuvi Mamu Kloutse, DMDNPI 1962554956

Title

Owner

Phone

(412) 726-3797

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Akuvi Mamu Kloutse, DMD

  • General Practice Dentistry
  • Ambridge, PA
  • NPI 1962554956
  NPD (past) Authorized official

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1083847990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "NOTHLAND, SUITE 214",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-366-8550",
            "fax_number": "412-366-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SOUTHERN AVE",
            "city": "MOUNT WASHINGTON",
            "state": "PA",
            "postal_code": "152112253",
            "telephone_number": "412-726-3797",
            "fax_number": "412-481-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNING SMILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "KLOUTSE",
        "authorized_official_first_name": "AKUVI",
        "authorized_official_middle_name": "MAMU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-726-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO36432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018235160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Mount Washington, PA
• Providers in Mount Washington, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.