Smile and Shine Waterbury

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE AND SHINE WATERBURY

Practice address

158 Manor Ave Unit 1
Waterbury, CT 06705-1206

Phone

(203) 527-3375

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Nunez

Title

Office Manager

Phone

(203) 527-3375

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1225624596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MANOR AVE UNIT 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051206",
            "telephone_number": "203-527-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MANOR AVE UNIT 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051206",
            "telephone_number": "203-527-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AND SHINE WATERBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-527-3375"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WATERBURY",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "158 Manor Ave Unit 1",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067051206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie A Smail, LCSW
• Smart Billing Solutions LLC
• Smart Billing Solutions LLC
• Kimberly Mae Smead, MSPT
• Smile and Shine Dental, LLC
• Smiles of Waterbury, LLC
• Alexandria Smith, APRN
• Donald Joseph Smith Jr.
• Fiona Smith
• Heather Smith

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.