Organization Active NPI

Smile Clinic, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, ME
National Provider Identifier
1306497094
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE CLINIC, LLC
Practice address
163 Fore St Ste a
Portland, ME 04101-6806
Phone
(207) 352-3111
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Dr. Jameson Louis Hardy, DMD
Title
Orthodontist
Phone
(207) 852-0523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

163 Fore St Ste a
Portland, ME 04101-6806

Mailing address

163 Fore St Ste a
Portland, ME 04101-6806

National Provider Directory

National Provider Directory

Locations

163 Fore St
Ste A
Portland, ME 04101
Phone (207) 352-3111

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1306497094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORE ST STE A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FORE ST STE A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016806",
            "telephone_number": "207-352-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "207-852-0523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.