Organization Active NPI

Great Smiles, PLLC

  • Dental Clinic/Center
  • Dover, NH
National Provider Identifier
1255758058
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3128 Issued in NH
Legal business name
GREAT SMILES, PLLC
Practice address
38 Nelson St
Dover, NH 03820-3736
Phone
(603) 742-2164
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Dr. Christiane Rothwangl, DDS
Title
Officer
Phone
(603) 548-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3128 NH Primary

Addresses

Primary practice location

38 Nelson St
Dover, NH 03820-3736

Mailing address

40 S Mast St
Goffstown, NH 03045-2194

National Provider Directory

National Provider Directory

Locations

38 Nelson St
Dover, NH 03820
Phone (603) 742-2164

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1255758058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NELSON ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203736",
            "telephone_number": "603-742-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "ROTHWANGL",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "603-548-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.