Organization Active NPI

My Smile Dental Inc Dba Advantage Dental Care

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1295044725
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MY SMILE DENTAL INC DBA ADVANTAGE DENTAL CARE
Practice address
520 48TH Street CT E
Bradenton, FL 34208-5508
Phone
(941) 748-9393
Fax
(941) 748-9696
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Martina Mallery, DDS
Title
Owner
Phone
(941) 748-9393

Specialties & licenses 1

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

Addresses

Primary practice location

520 48TH Street CT E
Bradenton, FL 34208-5508

Mailing address

520 48TH Street CT E
Bradenton, FL 34208-5508
Phone (941) 748-9393

National Provider Directory

National Provider Directory
Tax ID family
My Smile Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 48th Street Ct E
Bradenton, FL 34208
Phone (941) 748-9393

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": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1295044725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 48TH STREET CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085508",
            "telephone_number": "941-748-9393",
            "fax_number": "941-748-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 48TH STREET CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085508",
            "telephone_number": "941-748-9393",
            "fax_number": "941-748-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE DENTAL INC DBA ADVANTAGE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MALLERY",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-748-9393",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.