Smiles on Broadway P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02189000 Issued in NJ

Legal business name

SMILES ON BROADWAY P.C.

Practice address

852 Broadway
West Long Branch, NJ 07764-1503

Phone

(646) 321-7084

NPI assigned

May 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Inna Silman, DDS

Title

Owner

Phone

(646) 321-7084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1346687795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077260076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641503",
            "telephone_number": "646-321-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON BROADWAY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "SILMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-321-7084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02189000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Dental Clinic/Center in New Jersey

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