Organization Active NPI

Signature Smile General & Cosmetic Dentistry, PLLC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1164673695
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052152 Issued in NY
Legal business name
SIGNATURE SMILE GENERAL & COSMETIC DENTISTRY, PLLC
Practice address
100 Pineapple Walk
Brooklyn, NY 11201-1705
Phone
(718) 246-5677
NPI assigned
Oct 2, 2008
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Inna Trogan, DDSNPI 1962617605
Title
Owner
Phone
(718) 246-5677

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 Dentistry 1223G0001X 052152 NY Primary

Addresses

Primary practice location

100 Pineapple Walk
Brooklyn, NY 11201-1705

Mailing address

100 Pineapple Walk
Brooklyn, NY 11201-1705
Phone (718) 246-5677

Other identifiers 1

IdentifierTypeStateIssuer
1962617605OtherNYNPI

Other names 1

  • Signature Smile Dental Other name

National Provider Directory

National Provider Directory

Locations

100 Pineapple Walk
Brooklyn, NY 11201
Phone (718) 246-5677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1164673695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEAPPLE WALK",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011705",
            "telephone_number": "718-246-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEAPPLE WALK",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011705",
            "telephone_number": "718-246-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILE GENERAL & COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "TROGAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-246-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962617605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.