Robert E. Smith DDS MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010810 Issued in CT

Legal business name

ROBERT E. SMITH DDS MPH

Practice address

115 New Haven Ave
Derby, CT 06418-2154

Phone

(203) 732-4747

Fax

(203) 734-4101

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Lynanne Madgic

Title

Office Manager

Phone

(203) 732-4747

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1134478647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182154",
            "telephone_number": "203-732-4747",
            "fax_number": "203-734-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEW HAVEN AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182154",
            "telephone_number": "203-732-4747",
            "fax_number": "203-734-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. SMITH DDS MPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MADGIC",
        "authorized_official_first_name": "LYNANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-732-4747"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010810",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "007110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giana Antoun Restom
• Grace Riggio, LMSW
• Cesar Augusto Rivera Tovar, M.D.
• Arnold DC Rivera, M.D.
• Katherine Eleanor Roarty, APRN
• Daneille Robertson, LPC-A
• Scott J Rocchio, D.C.
• Alexis L Rodriguez, MD
• Destiny Rodriguez
• Cynthia Mary Ronan IV, M.D.

• General Practice Dentistry in Derby, CT
• Providers in Derby, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.