Bigsmile Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BIGSMILE INC.

Doing business as

Big Smile Dental

Practice address

1315 Emancipation Hwy
Fredericksburg, VA 22401-4640

Phone

(540) 899-1777

Fax

(540) 899-2266

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By 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

Dr. Carter Milan Waller, DMDNPI 1407098197

Title

Owner Dentist

Phone

(561) 901-4700

Specialties & licenses 1

Addresses

Other names 1

• Big Smile Dental Doing business as

Tax ID family

Big 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.

• Big Smile Dental

  • Dental Clinic/Center
  • Fredericksburg, VA
  • NPI 1902329329
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carter Milan Waller, D.M.D.

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1407098197
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1316700115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 EMANCIPATION HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014640",
            "telephone_number": "540-899-1777",
            "fax_number": "540-899-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 EMANCIPATION HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014640",
            "telephone_number": "540-899-1777",
            "fax_number": "540-899-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGSMILE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "561-901-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Biagi, CCC-SLP
• Katrina Marie Bialecki, BCABA, LABA
• Althea Lauren Bickley, MD
• Big Smile Dental
• Rebecca Bigoney, M.D.
• Rubina Bilal
• Vishal Bindal, M.D.
• Jordan Bingham
• Bio-Medical Applications of Virginia, Inc. (Fresenius Kidney Care - Falls Run)
• Bio-Medical Applications of Virginia, Inc. (Fresenius Medical Care Spotsylvania)

• Dental Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.