Small Smiles Dentistry of Newburgh, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMALL SMILES DENTISTRY OF NEWBURGH, LLC

Practice address

136 Lake St
Suite 11
Newburgh, NY 12550-5245

Phone

(719) 562-4461

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Trudy Williams

Title

Director, Licensing & Credentialing

Phone

(615) 750-0342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1295934891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LAKE ST",
            "address_2": "SUITE 11",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505245",
            "telephone_number": "719-562-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES DENTISTRY OF NEWBURGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Lynn Siu, DDS
• Jeffrey Alan Skaar, CASAC
• Kenneth Drew Skonberg, DC
• Lynne M Slater, LCSWR
• Nia Slaughter
• Erin Leigh Small, MA, CASAC-T
• Smile Dentist P.C.
• Smileworks Dental of the Hudson Valley
• Theodean Smith-Lawrence, FNP
• Alicia Maria Smith

• General Practice Dentistry in Newburgh, NY
• Providers in Newburgh, NY by specialty
• General Practice Dentistry in New York

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