Organization Active NPI

Smiles of Beauty Dental Group, P.S.C.

  • General Practice Dentistry
  • Mayaguez, PR
National Provider Identifier
1265613616
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2732 Issued in PR
Legal business name
SMILES OF BEAUTY DENTAL GROUP, P.S.C.
Practice address
55 Calle Dr Basora N
Edificio Medico 4
Mayaguez, PR 00680-4810
Phone
(787) 834-3863
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Benjamin Perez Febles, D.D.S.NPI 1053527374
Title
President
Phone
(787) 834-3863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2732 PR Primary

Addresses

Primary practice location

55 Calle Dr Basora N
Edificio Medico 4
Mayaguez, PR 00680-4810

Mailing address

55 Calle Dr Basora N Ste 105
Edificio Medico 4
Mayaguez, PR 00680-4886
Phone (787) 834-3863

National Provider Directory

National Provider Directory

Locations

55 Calle Dr Basora N
#4
Mayaguez, PR 00680
Phone (787) 834-3863

55 Calle Dr Basora N
Ste 105
Mayaguez, PR 00680
Phone (787) 834-3863

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1265613616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N STE 105",
            "address_2": "EDIFICIO MEDICO 4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804886",
            "telephone_number": "787-834-3863",
            "fax_number": "787-834-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N",
            "address_2": "EDIFICIO MEDICO 4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804810",
            "telephone_number": "787-834-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF BEAUTY DENTAL GROUP, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ FEBLES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-3863",
        "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": "PR",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.