NPIMap

Organization Active NPI

Fresh Smiles, LLC

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1376061028
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2015002919 Issued in MO
Legal business name
FRESH SMILES, LLC
Doing business as
Fresh Smiles Dental
Practice address
6060 Telegraph Rd Ste H
Saint Louis, MO 63129-4762
Phone
(314) 846-1480
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Anwar Abdul-Nabi, DMDNPI 1558642512
Title
Owner/Dentist
Phone
(314) 846-1480

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
Dental Clinic/Center 261QD0000X 2015002919 MO Primary

Addresses

Primary practice location

6060 Telegraph Rd Ste H
Saint Louis, MO 63129-4762

Mailing address

6060 Telegraph Rd Ste H
Saint Louis, MO 63129-4762
Phone (314) 846-1480

Other names 1

  • Fresh Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376061028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD STE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD STE H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDUL-NABI",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "314-846-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2015002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.