Active NPI
Smile Center Family Dentistry LLC
- Dental Clinic/Center
- Terryville, CT
National Provider Identifier
1104312271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 010960
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.