Smartdental Milford LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMARTDENTAL MILFORD LLC

Practice address

185 Broad St Ste C
Milford, CT 06460-4763

Phone

(203) 878-1173

Fax

(203) 874-1076

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Eduardo Cortes, D.D.S.NPI 1790983575

Title

Dentist

Phone

(203) 878-1173

Specialties & licenses 1

Addresses

Other names 1

• SmartDental Milford LLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Cortes, D.D.S.

  • Dentist
  • Milford, CT
  • NPI 1790983575
  NPD Authorized official
• Kenneth James Wachuk, D.D.S.

  • General Practice Dentistry
  • Milford, CT
  • NPI 1225102007
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1265083554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BROAD ST STE C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604763",
            "telephone_number": "203-878-1173",
            "fax_number": "203-874-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BROAD ST STE C",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604763",
            "telephone_number": "203-878-1173",
            "fax_number": "203-874-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTDENTAL MILFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-878-1173",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmartDental Milford LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Julia Victoria Sledz, ATC
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• SLM & Jiml LLC
• Cydney D Slotoroff, MT-BC
• Amanda Smith, RN
• Cristen Smith, LPC, LMHC
• Julia Smith, MAAT, LPC
• Christopher Edward Snyder, MD
• Natalia Sobko Baker, LCSW

• General Practice Dentistry in Milford, CT
• Providers in Milford, 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 Sep 27, 2019; 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.