Wilson Smiles Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WILSON SMILES DENTAL LLC

Practice address

41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269

Phone

(973) 589-7337

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Uma Kanikicharla, MD

Title

Ceo

Phone

(732) 857-7247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124585674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-51 WILSON AVE STE 2-D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053269",
            "telephone_number": "973-589-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-51 WILSON AVE STE 2-D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053269",
            "telephone_number": "973-589-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON SMILES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KANIKICHARLA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-857-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.