NPIMap

Organization Active NPI

Smiley Tooth Spa, Inc

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1205103553
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS8039 Issued in TN
Legal business name
SMILEY TOOTH SPA, INC
Practice address
500 Lentz Dr Ste 70
Madison, TN 37115-5135
Phone
(615) 969-2774
Fax
(615) 327-4433
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. George Wesley Smiley, D.D.S.
Title
Owner
Phone
(615) 969-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS8039 TN Primary

Addresses

Primary practice location

500 Lentz Dr Ste 70
Madison, TN 37115-5135

Mailing address

500 Lentz Dr Ste 70
Madison, TN 37115-5135
Phone (615) 969-2774

National Provider Directory

National Provider Directory
Tax ID family
Smiley Tooth Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1205103553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR STE 70",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155135",
            "telephone_number": "615-969-2774",
            "fax_number": "615-327-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR STE 70",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155135",
            "telephone_number": "615-969-2774",
            "fax_number": "615-327-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY TOOTH SPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-969-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.