Grace Dental Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRACE DENTAL SMILES

Practice address

102 Route 109
West Babylon, NY 11704-6220

Phone

(631) 619-0010

Fax

(631) 983-4774

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Avinash Cherian, DMD

Title

Owner

Phone

(631) 619-0010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1275008138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046220",
            "telephone_number": "631-619-0010",
            "fax_number": "631-983-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046220",
            "telephone_number": "631-619-0010",
            "fax_number": "631-983-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-619-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Joan Goodman, M.A., CCC-SLP
• Vakeanand Gopaul-Padarat, MD
• Quiara Gordon, RDN
• Matthew Thomas Gorman, PA-C
• Misty Goyal, OTR/L
• Margaret Grady
• Kim Ansonia Gregg, RN
• Michael Vincent Gregorio, DDS
• Karine Grigoryants, MD
• Mark Grudman, M.D.

• Dental Clinic/Center in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.