Active NPI
Smiles on-Site Dentistry
- Dental Clinic/Center
- Edina, MN
National Provider Identifier
1366383903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SMILES ON-SITE DENTISTRY
- Practice address
- 3930 Sunnyside Rd
Edina, MN 55424-1211 - Phone
- (412) 877-2288
- Fax
- (952) 929-3142
- NPI assigned
- Apr 6, 2026
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. D Grant Lewis, DDS
- Title
- Owner
- Phone
- (412) 877-2288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
3930 Sunnyside Rd
Edina, MN 55424-1211
Mailing address
3930 Sunnyside Rd
Edina, MN 55424-1211
Phone (412) 877-2288
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Maple Grove, MN
- NPI 1215621313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1366383903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 SUNNYSIDE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554241211",
"telephone_number": "412-877-2288",
"fax_number": "952-929-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 SUNNYSIDE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554241211",
"telephone_number": "412-877-2288",
"fax_number": "952-929-3142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES ON-SITE DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-05",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "D GRANT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-877-2288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.