Smiles Dental Group, PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

D8230 Issued in OR

Legal business name

SMILES DENTAL GROUP, PC

Practice address

1018 N Boones Ferry Rd
Woodburn, OR 97071-9602

Phone

(503) 981-1841

Fax

(503) 981-7334

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jacob A Lewis, CPA, MBA

Title

Cfo

Phone

(206) 919-6578

Specialties & licenses 1

Addresses

Tax ID family

Smiles Dental Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Smiles Dental Group, PC

  • General Practice Dentistry
  • Salem, OR
  • NPI 1427417526
  NPD tax ID
• Smiles Dental Group, PC

  • Dentist
  • Longview, WA
  • NPI 1285093385
  NPD tax ID

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1295149334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY",
            "address_2": "STE 110",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324080",
            "telephone_number": "503-981-1841",
            "fax_number": "503-981-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N BOONES FERRY RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719602",
            "telephone_number": "503-981-1841",
            "fax_number": "503-981-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-919-6578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "D8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silverton Health
• Silverton Hospital Dba Tukwila Medical Specialist
• Silverton Hospital Imediate Care
• Silverton Hospital Occupational Health
• Samuel Sisto-Lopez, DC
• Bethany Smith
• Jazmine J Smith, MD
• Katherine Hunter Smith, RN, BSN
• Laura Ann Smith, PHARMD
• Kenneth Solnky

• Customized Equipment (DME) in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Customized Equipment (DME) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.