All About Smiles LC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

012493 Issued in MO

Legal business name

ALL ABOUT SMILES LC

Practice address

1717 E Cherokee St
Suite 104
Springfield, MO 65804-2335

Phone

(417) 889-5757

Fax

(417) 889-5758

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By 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

Mr. Lorin G Van Drie

Title

Owner

Phone

(417) 234-3305

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1184986077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E CHEROKEE ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042335",
            "telephone_number": "417-889-5757",
            "fax_number": "417-889-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E CHEROKEE ST",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042335",
            "telephone_number": "417-889-5757",
            "fax_number": "417-889-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT SMILES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "VAN DRIE",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-234-3305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "012493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669574935",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841511805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hussam H Alhawari, M.D.
• Hussein Hamdan Alhawari, MD
• Asim Ali
• Mohamed Ali, MD
• Zaineh Alja'Nini, MD
• All Seasons Behavioral Health, LLC (All Seasons Behavioral Health)
• Bala Sudhakar Reddy Allam, M.D.
• Allan Companies Inc (Allan Medical Inc)
• Noah Lee Alldredge
• Ally P Allen, LPC

• Dental Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.