The Smilist Dental of New Jersey II, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SMILIST DENTAL OF NEW JERSEY II, LLC

Doing business as

The Smilist

Practice address

470 Clifton Ave
Clifton, NJ 07011-3262

Phone

(862) 304-4009

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Walter D Hosp

Title

Chief Financial Officer

Phone

(516) 441-2173

Specialties & licenses 1

Addresses

Other names 1

• The Smilist Doing business as

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1144798307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CUTTERMILL RD STE 500",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213213",
            "telephone_number": "516-441-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113262",
            "telephone_number": "862-304-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILIST DENTAL OF NEW JERSEY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HOSP",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-441-2173"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smilist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Clifton, NJ
• Providers in Clifton, 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 Nov 6, 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.