Smile Dental Office, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

19126 Issued in NJ

Legal business name

SMILE DENTAL OFFICE, P.C.

Practice address

1152 Clinton Avenue
Irvington, NJ 07111

Phone

(973) 372-5640

Fax

(973) 371-7697

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Leslie Torres

Title

Insurance Coordinator

Phone

(973) 372-5640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Usha Polavarapu, DDS

  • Dentist
  • Irvington, NJ
  • NPI 1891822482
  NPD (past)
• Abhishek Sharma, D.D.S

  • Dentist
  • Irvington, NJ
  • NPI 1831644681
  NPD (past)
• Bhramara Priya Yerramsetti

  • Dentist
  • Irvington, NJ
  • NPI 1063816098
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1093910143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 CLINTON AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-372-5640",
            "fax_number": "973-371-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 CLINTON AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-372-5640",
            "fax_number": "973-371-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "973-372-5640"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "19126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9025600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Silver, LCSW RN
• Silverbirch Health LLC
• Ramnik Amar Singh, DDS
• Six Paths of Health
• Skylight Support Services
• Carnette Smith, APN
• Marina Sokolovskaya
• Keisha Somerset, FNP-BC
• Soothing Hands Home Care Agency LLC
• Jaime Royo Soriano, M.D.

• Dentist in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.