Group One Smiles PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GROUP ONE SMILES PLLC

Practice address

210 Humphrey St
Marblehead, MA 01945-1665

Phone

(617) 909-5459

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By 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. Theodore Markos, DMD

Title

Owner/Dentist

Phone

(617) 909-5459

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1245954619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 SEAL PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081817",
            "telephone_number": "617-909-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HUMPHREY ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451665",
            "telephone_number": "617-909-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Central St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019491736",
            "country_code": "US",
            "telephone_number": "617-909-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUP ONE SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MARKOS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "617-909-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Robert Goodnow, PSY.D, HSP
• Jill A. Grace Hersch, L.C.S.W.
• Stephanie Karahalis Green, M.D.
• Tracey G Green, LIC. AC.
• Amy N Greene, LICSW
• Linda Guy
• Susan Mae Hamel, N.P.
• Amanda Tripp Hayes, PSY.D
• Leslie C Hazlett, LICSW
• Healing Hope Supervision and Emdr Consultation LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.