The Smilist Dental de, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE SMILIST DENTAL DE, LLC

Practice address

40 Cuttermill Rd Ste 500
Great Neck, NY 11021-3213

Phone

(562) 965-3304

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Saundra Michele Alvarez

Title

VP Revenue Management

Phone

(562) 965-3304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1386328227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CUTTERMILL RD STE 500",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213213",
            "telephone_number": "562-965-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CUTTERMILL RD STE 500",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213213",
            "telephone_number": "562-965-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILIST DENTAL DE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "VP REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "562-965-3304"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Great Neck, NY
• Providers in Great Neck, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.