Executive Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

057005-1 Issued in NY

Legal business name

EXECUTIVE SMILES INC

Practice address

460 Atlantic Ave
East Rockaway, NY 11518-1547

Phone

(516) 792-6533

Fax

(516) 792-6533

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arshia Golian, DDS

Title

Dentist

Phone

(516) 792-6533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1144700451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 STEPPING STONE LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241313",
            "telephone_number": "516-792-6533",
            "fax_number": "516-792-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ATLANTIC AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181547",
            "telephone_number": "516-792-6533",
            "fax_number": "516-792-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "GOLIAN",
        "authorized_official_first_name": "ARSHIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-792-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057005-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.