Contagious Smile LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CONTAGIOUS SMILE LLC

Practice address

1955 Springfield Ave Ste 1
Maplewood, NJ 07040-3441

Phone

(973) 763-0454

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lakesha Boone, RDH

Title

Manager

Phone

(973) 763-0454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1356869762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE STE 1",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SPRINGFIELD AVE STE 1",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403441",
            "telephone_number": "973-763-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTAGIOUS SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-763-0454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.