Smile by Design Dentistry, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054409 Issued in NY

Legal business name

SMILE BY DESIGN DENTISTRY, P.C.

Practice address

1603 McDonald Ave
Brooklyn, NY 11230-6310

Phone

(718) 265-6699

Fax

(718) 228-7522

NPI assigned

Jun 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadiia Shubina

Title

Office Manager

Phone

(718) 265-6699

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295264216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306310",
            "telephone_number": "718-265-6699",
            "fax_number": "718-228-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306310",
            "telephone_number": "718-265-6699",
            "fax_number": "718-228-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BY DESIGN DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHUBINA",
        "authorized_official_first_name": "NADIIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-265-6699"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03190585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Jean Smiertka, LMSW
• Khadisha Smikle-Holder, PA-C
• Smile Again Dental PC
• Smile America Dental, PC (Greenpoint Dental Center)
• Smile Brooklyn Dental, PC (Interfaith Dental, P.C.)
• Smile for Physical Therapy PC
• Smile Home Care Physical Therapy PC
• Smile Homecare Agency Inc
• Smile Nyc Dental PLLC
• Smile Plus Dental Care P.C.

• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 21, 2022; 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.