Smile Massachusetts, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE MASSACHUSETTS, PLLC

Practice address

245 1St St FL 18
Cambridge, MA 02142-1292

Phone

(888) 833-8441

Fax

(888) 330-4331

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Margo Yellin Woll, DDS

Title

Dental Director

Phone

(888) 833-8441

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1215044805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250310",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 1ST ST FL 18",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421292",
            "telephone_number": "888-833-8441",
            "fax_number": "888-330-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MASSACHUSETTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WOLL",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "YELLIN",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-833-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9746731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Ann Slote, RN
• Annie Roseanna Small, LMHC INTERN
• Jessica Small, MD
• Kayla Elizabeth Small, PA-C
• Smile Initiative LLC
• Anna Smirnova
• Lotte Smith-Hansen, PH.D.
• Mills Smith-Millman, PHD
• Adelaide S. Smith, LICSW
• Adele M Smith, RPT ATC

• Dentist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.