Smile Creations PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101649200 Issued in NJ

Legal business name

SMILE CREATIONS PA

Practice address

630 S Brewster Rd
Suite a-2
Vineland, NJ 08361-7801

Phone

(856) 692-0060

Fax

(856) 692-0382

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Bencie, DMDNPI 1184648214

Title

President Owner

Phone

(856) 692-0060

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Bencie, D.M.D., F.A.G.D.

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1184648214
  NPD (past) Authorized official
• Charles Liu, D.D.S

  • Dentist
  • Vineland, NJ
  • NPI 1942369202
  NPD (past)
• Robert Malfara, DMD

  • Dentist
  • Vineland, NJ
  • NPI 1871770370
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1225059330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S BREWSTER RD",
            "address_2": "SUITE A-2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617801",
            "telephone_number": "856-692-0060",
            "fax_number": "856-692-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S BREWSTER RD",
            "address_2": "SUITE A-2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617801",
            "telephone_number": "856-692-0060",
            "fax_number": "856-692-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CREATIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BENCIE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "856-692-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101649200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "16492",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "182501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harris David Slavick, MD
• Sleepcare Centers, Inc
• Helen L Slone, M.D.
• Anthony Valentine Smaniotto III, RPH
• Jenna Smaniotto, L.AC.
• Bruce Elliot Smith, D.D.S.
• Glenda Ruth Smith, MD
• Gregoria Ann Smith, M.S., CCC-SLP
• Jakeena Shavon Smith
• Kimberley Yvette Smith, MD

• General Practice Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.