NPIMap

Organization Active NPI

Dental Smile Professionals Dayton Ohio LLC

  • Dental Clinic/Center
  • Dayton, OH
National Provider Identifier
1336607332
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL SMILE PROFESSIONALS DAYTON OHIO LLC
Practice address
5221 Waynetowne CT
Dayton, OH 45424-2124
Phone
(937) 237-0360
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Opal Anderson
Title
Coo
Phone
(937) 237-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5221 Waynetowne CT
Dayton, OH 45424-2124

Mailing address

5221 Waynetowne CT
Dayton, OH 45424-2124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@dentalsmileprofessionals.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1336607332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 WAYNETOWNE CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454242124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 WAYNETOWNE CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454242124",
            "telephone_number": "937-237-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILE PROFESSIONALS DAYTON OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-237-0360"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@dentalsmileprofessionals.com",
            "affiliation": "N",
            "address_1": "5221 Waynetowne Ct",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454242124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.