Smile Design Ellsworth, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN4082 Issued in ME

Legal business name

SMILE DESIGN ELLSWORTH, PC

Practice address

382 State St
Ellsworth, ME 04605-3330

Phone

(207) 664-2474

Fax

(207) 667-1539

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Aaron James Palmer Sr., D.M.D.NPI 1639336902

Title

Dentist/Ceo

Phone

(207) 664-2474

Specialties & licenses 1

Addresses

Practitioners 1

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

• Aaron James Palmer Sr., D.M.D

  • Dentist
  • Ellsworth, ME
  • NPI 1639336902
  NPD (past) Authorized official

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1346687621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050611",
            "telephone_number": "207-664-2474",
            "fax_number": "207-667-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 STATE ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053330",
            "telephone_number": "207-664-2474",
            "fax_number": "207-667-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN ELLSWORTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "207-664-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN4082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sirois, LCSW
• Davor Graham Sklizovic, M.D.
• Mica T. Slaven-Lamothe, LCSW, MHRT-CSP
• Shannon Lee Small, CADC
• Petr Smejkal, MD
• Brandon R Smith, DPT
• Erin Smith
• Sally Linda Smith, LCSW
• Special Children'S Friends, Inc.
• Jessica Spevak, CCC-SLP

• Dental Clinic/Center in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.