Organization Active NPI

Signature Smiles, LLC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1184093197
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011418 Issued in CT
Legal business name
SIGNATURE SMILES, LLC
Practice address
1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760
Phone
(860) 644-1095
Fax
(860) 644-1118
NPI assigned
Sep 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Puneet Rangi, D.D.S
Title
LLC Member
Phone
(989) 277-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 011418 CT Primary

Addresses

Primary practice location

1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760

Mailing address

1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760
Phone (860) 644-1095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1184093197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760",
            "telephone_number": "860-644-1095",
            "fax_number": "860-644-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760",
            "telephone_number": "860-644-1095",
            "fax_number": "860-644-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "RANGI",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "989-277-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.