My Smile Dental Services, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MY SMILE DENTAL SERVICES, PLLC

Practice address

5014B Preston Hwy
Louisville, KY 40213-2217

Phone

(502) 966-0188

Fax

(502) 966-0189

NPI assigned

Jul 20, 2020

Organization subpart

Yes

Parent organization

MY SMILE DENTAL SERVICES, PLLCAs reported in NPPES

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

Authorized official

Name

Kayla Marie Ising

Title

Office Coordinator

Phone

(812) 670-0403

Specialties & licenses 1

Addresses

Other names 1

• Dental Services Doing business as

Part of

My Smile Dental Services PLLC

Locations

Practitioners 1

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

• Jae Yong Lee, DMD PHD

  • Dentist
  • Louisville, KY
  • NPI 1285263012
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1144838764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014B PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132217",
            "telephone_number": "502-966-0188",
            "fax_number": "502-966-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014B PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402132217",
            "telephone_number": "502-966-0188",
            "fax_number": "502-966-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE DENTAL SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY SMILE DENTAL SERVICES, PLLC",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "ISING",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "812-670-0403"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• My Fairy Doula, LLC
• My Mental Health Matters
• My Private MD PSC
• My Redemption Incorporated
• My RX LLC
• My Turn
• Lee Aryn Myers-White, PA-C
• Annette Myers, OTR
• Charles Myers, MD
• Cicely Ruth Myers, LDO

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.