Smile Destination, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE DESTINATION, LLC

Practice address

2603 Eastburn Ctr
Newark, DE 19711-7285

Phone

(302) 357-5166

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Smile Destination LLC, DMD

Title

Owner

Phone

(302) 357-5166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myhanh Vu, DMD

  • General Practice Dentistry
  • Newark, DE
  • NPI 1891870853
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1225717002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HONORA DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 EASTBURN CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117285",
            "telephone_number": "302-357-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESTINATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "SMILE",
        "authorized_official_middle_name": "DESTINATION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-357-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Smalls
• Jessica Joel Smallwood, APRN
• Kevin William Smallwood, PA-C
• Smile and Airway Solutions LLC
• Smile Brite Dental Care
• Amber Smith
• Andrew Kyle Smith, PT, DPT, MS
• Angela Hucthinson Smith, PT, DPT, OCS, SCS
• Angelina Rhunette Smith, MA
• Anthony Smith

• Dental Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Dental Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.