Organization Active NPI

Smiles Dental PLLC

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1366896938
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 15925 Issued in FL
Legal business name
SMILES DENTAL PLLC
Practice address
700 W Hillsboro Blvd Ste 1-109
Deerfield Beach, FL 33441-1613
Phone
(754) 264-7264
Fax
(954) 248-2484
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Suneetha Atluri, D.M.DNPI 1063525731
Title
Owner/General Dentist
Phone
(754) 264-7264

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 15925 FL Primary

Addresses

Primary practice location

700 W Hillsboro Blvd Ste 1-109
Deerfield Beach, FL 33441-1613

Mailing address

700 W Hillsboro Blvd Ste 1-109
Deerfield Beach, FL 33441-1613
Phone (754) 264-7264

Other names 1

  • Smiles Dental Other name

National Provider Directory

National Provider Directory

Locations

700 W Hillsboro Blvd
Ste 1-109
Deerfield Beach, FL 33441
Phone (754) 264-7264

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1366896938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD STE 1-109",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411613",
            "telephone_number": "754-264-7264",
            "fax_number": "954-248-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD STE 1-109",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411613",
            "telephone_number": "754-264-7264",
            "fax_number": "954-248-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ATLURI",
        "authorized_official_first_name": "SUNEETHA",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "754-264-7264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 15925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.