Smile Master of Concord

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2650 Issued in NH

Legal business name

SMILE MASTER OF CONCORD

Practice address

246 Pleasant St # 225a
Concord, NH 03301-2548

Phone

(603) 856-8767

Fax

(603) 856-8026

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By 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. Mostafa H El-Sherif, DMD,MSCD,PHD

Title

President

Phone

(603) 856-8767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1356693642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST # 225A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-856-8767",
            "fax_number": "603-856-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST # 225A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-856-8767",
            "fax_number": "603-856-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MASTER OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "EL-SHERIF",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-856-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MSCD,PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Slack, BS
• Nathanael A. Slater, D.O.
• Colleen Elizabeth Slawiak, PA-C
• Sleep Apnea & Snoring Institute
• Jocelyn Small, SLP
• Smiles ABA NH LLC
• Tara Diane Smith-Garcia, ARNP
• Alexandra Lisette Smith
• Brenda Smith, MSW
• Gerald A Smith, D.M.D.

• Dental Clinic/Center in Concord, NH
• Providers in Concord, NH by specialty
• Dental Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.