Organization Active NPI

Smilecreators, P.a.

  • General Practice Dentistry
  • Clifton, NJ
National Provider Identifier
1144435694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02094100 Issued in NJ
Legal business name
SMILECREATORS, P.A.
Practice address
139 Main Avenue
Clifton, NJ 07014
Phone
(973) 471-8300
Fax
(973) 471-6662
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Evgeni Goriounov, D.D.S.NPI 1356342588
Title
President
Phone
(973) 471-8300

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02094100 NJ Primary

Addresses

Primary practice location

139 Main Avenue
Clifton, NJ 07014

Mailing address

139 Main Avenue
Clifton, NJ 07014-1707
Phone (973) 471-8300

National Provider Directory

National Provider Directory

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144435694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAIN AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141707",
            "telephone_number": "973-471-8300",
            "fax_number": "973-471-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAIN AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07014",
            "telephone_number": "973-471-8300",
            "fax_number": "973-471-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILECREATORS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORIOUNOV",
        "authorized_official_first_name": "EVGENI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-471-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02094100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.