Great Smile Dental Services, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010372 Issued in CT

Legal business name

GREAT SMILE DENTAL SERVICES, LLC

Practice address

629 W 185TH St FL 4
New York, NY 10033-3102

Phone

(212) 795-9519

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Franklin L Martinez, DDS

Title

Member

Phone

(646) 353-6412

Specialties & licenses 1

Addresses

Tax ID family

Great Smile Dental Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Smile Dental Services PC

  • Customized Equipment (DME)
  • New York, NY
  • NPI 1275919656
  NPD tax ID

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1083952378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-795-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-795-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILE DENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-353-6412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Medical Services P.C.
• Great Neck Terrace Acupuncture PC (Daniel Yi Acupuncture)
• Great Neck Urology, PC (Nabet G. Kasabian MD)
• Great Plains Behavioral Health Services, P.a.
• Great Smile Dental Services PC
• Great Tiger Acupuncture, P.C.
• Great Wall Medical, P.C. (New York Robotic Gynecology & Women's Health)
• Greatcare Fi LLC
• Greatcare Inc
• Greatcare Inc

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.