Smile Labs Services, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MN10874 Issued in MN

Legal business name

SMILE LABS SERVICES, LLC

Practice address

867 Grand Avenue
St. Paul, MN 55105

Phone

(651) 222-5133

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Eisenhuth, DDS

Title

President

Phone

(651) 406-8100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eric David Moe, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Apple Valley, MN
  • NPI 1336819267
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1265948285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SHERMAN COURT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-406-8100",
            "fax_number": "651-406-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 GRAND AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-222-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LABS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "EISENHUTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-406-8100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "MN10874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smart Health Care Solutions Inc
• Holly Anne Smart, MA, LP, ATR
• Smartcares MN LLC
• Rhonda Smieja, LADC
• Smile Health Care LLC
• Smile Orthodontics Stillwater LLC
• Smiles on Seventh, LTD.
• Jennifer Smith-Kristensen, MD
• Alyssa Dianna Temte Smith, FNP-C
• Ashley Jordan Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.