Organization Active NPI

Forever Smiles

  • General Practice Dentistry
  • Allen, KY
National Provider Identifier
1083988596
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6977 Issued in KY
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6977 KY Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.