Smile Bellefontaine Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE BELLEFONTAINE INC

Practice address

139 W Sandusky Ave
Bellefontaine, OH 43311-1415

Phone

(937) 230-5868

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Supreetha Veeresh

Title

Office Manager

Phone

(614) 974-8133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1215727748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W SANDUSKY AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111415",
            "telephone_number": "937-230-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W SANDUSKY AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111415",
            "telephone_number": "937-230-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BELLEFONTAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "VEERESH",
        "authorized_official_first_name": "SUPREETHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-974-8133"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Short
• Richard Shramo, D.P.M
• Craig O Siegel, MD
• Jennifer Noel Skidmore, MSPT
• Jennifer Michele Sloan, OTR/L
• Adam Duke Smith
• Amy Sue Smith, LMT
• Betty S Smith, SWA
• Molly A Smith, LPCC
• Sierra Smith

• General Practice Dentistry in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.