NPIMap

Organization Active NPI

Smile Brooklyn Dental, PC

Doing business as Interfaith Dental, P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1376927194
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE BROOKLYN DENTAL, PC
Doing business as
Interfaith Dental, P.C.
Practice address
1545 Atlantic Ave
East Building
Brooklyn, NY 11213-1122
Phone
(718) 613-7140
Fax
(718) 504-6259
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. David Joseph Miller, DDS
Title
Chairman of Dental Medicine
Phone
(718) 613-7385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NY Primary

Addresses

Primary practice location

1545 Atlantic Ave
East Building
Brooklyn, NY 11213-1122

Mailing address

1545 Atlantic Ave
East Building
Brooklyn, NY 11213-1122
Phone (718) 613-7140

Other names 1

  • Interfaith Dental, P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1376927194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "address_2": "EAST BUILDING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-7140",
            "fax_number": "718-504-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "address_2": "EAST BUILDING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-7140",
            "fax_number": "718-504-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BROOKLYN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHAIRMAN OF DENTAL MEDICINE",
        "authorized_official_telephone_number": "718-613-7385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interfaith Dental, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.