Organization Active NPI

Smile Center Family Dentistry LLC

  • Dental Clinic/Center
  • Terryville, CT
National Provider Identifier
1104312271
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
010960 Issued in CT
Legal business name
SMILE CENTER FAMILY DENTISTRY LLC
Practice address
47 Main St
Terryville, CT 06786-5102
Phone
(860) 584-8444
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Dr. Beenish Orr, DMD
Title
Dentist
Phone
(860) 584-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 010960 CT Primary

Addresses

Primary practice location

47 Main St
Terryville, CT 06786-5102

Mailing address

47 Main St
Terryville, CT 06786-5102
Phone (860) 584-8444

National Provider Directory

National Provider Directory

Locations

47 Main St
Terryville, CT 06786
Phone (860) 584-8444

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1104312271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865102",
            "telephone_number": "860-584-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067865102",
            "telephone_number": "860-584-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "BEENISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-584-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "010960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terryville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.