Organization Active NPI

Smilestry PLLC

  • Dental Clinic/Center
  • Scarborough, ME
National Provider Identifier
1134010481
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILESTRY PLLC
Practice address
424 Payne Rd
Scarborough, ME 04074-9514
Phone
(207) 503-0030
Fax
(207) 503-0035
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Julissa Magdaly Guerra Percolla, DDSNPI 1457704207
Title
Founder/Owner/General Dentist
Phone
(207) 503-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

424 Payne Rd
Scarborough, ME 04074-9514

Mailing address

424 Payne Rd Ste 102
Scarborough, ME 04074-5569
Phone (207) 503-0030

National Provider Directory

National Provider Directory

Locations

424 Payne Rd
Scarborough, ME 04074
Phone (207) 503-0030

424 Payne Rd
Ste 102
Scarborough, ME 04074

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1134010481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PAYNE RD STE 102",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745569",
            "telephone_number": "207-503-0030",
            "fax_number": "207-503-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PAYNE RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749514",
            "telephone_number": "207-503-0030",
            "fax_number": "207-503-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILESTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "GUERRA PERCOLLA",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_middle_name": "MAGDALY",
        "authorized_official_title_or_position": "FOUNDER/OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "207-503-0030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.