Creating Beautiful Smiles SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

268160 Issued in WI

Legal business name

CREATING BEAUTIFUL SMILES SC

Practice address

4425 Taylor Ave
Suite 3
Mount Pleasant, WI 53405-4642

Phone

(262) 554-9055

Fax

(262) 554-9053

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Jeannine Smalkoski, D.D.S.NPI 1467665935

Title

Dentist

Phone

(262) 554-9055

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.

• Tiffany Jeannine Smalkoski, DDS

  • Dentist
  • Racine, WI
  • NPI 1467665935
  NPD (past) Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1255888103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 TAYLOR AVE",
            "address_2": "SUITE 3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534054642",
            "telephone_number": "262-554-9055",
            "fax_number": "262-554-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 TAYLOR AVE",
            "address_2": "SUITE 3",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534054642",
            "telephone_number": "262-554-9055",
            "fax_number": "262-554-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BEAUTIFUL SMILES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SMALKOSKI",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JEANNINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-554-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "268160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy M Coughlin, APSW
• Kelsey Rose Coulthurst, DPT
• Chloe Jean Couves, DPT
• Covid Care Zone Inc (Today's Life Clinical Laboratory)
• Ericka Ann Cowan, FNP-BC
• Carlynn H Crevier, M.D.
• Gregory E Crovetti, MD
• Amy Ruth Crowder, MD
• Lori Beth Cruz
• Amy Curruchich, R.N., C.R.N.A.

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.