Active NPI
Forever Smiles
- General Practice Dentistry
- Allen, KY
National Provider Identifier
1083988596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6977
- Legal business name
- FOREVER SMILES
- Practice address
- 6363 Kentucky Route 1428
Allen, KY 41601 - Phone
- (606) 949-6971
- Fax
- (606) 949-6986
- NPI assigned
- Mar 1, 2012
- Last updated
- Jul 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Dye
- Title
- President
- Phone
- (606) 949-6971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6977 | KY | Primary |
| General Practice Dentistry | 1223G0001X | 7084 | KY |
Addresses
Primary practice location
6363 Kentucky Route 1428
Allen, KY 41601
Mailing address
PO Box 308
6363 Kentucky Route 1428
Allen, KY 41601
Phone (606) 949-6971
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437177600000",
"number": "1083988596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"address_2": "6363 KENTUCKY ROUTE 1428",
"city": "ALLEN",
"state": "KY",
"postal_code": "41601",
"telephone_number": "606-949-6971",
"fax_number": "606-949-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 KENTUCKY ROUTE 1428",
"city": "ALLEN",
"state": "KY",
"postal_code": "41601",
"telephone_number": "606-949-6971",
"fax_number": "606-949-6986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREVER SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-01",
"last_updated": "2015-07-18",
"status": "A",
"authorized_official_last_name": "DYE",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-949-6971"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6977",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7084",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.