Smile Creations Dental Arts PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE CREATIONS DENTAL ARTS PLLC

Doing business as

Smile Creations Dental

Practice address

5 Block Blvd
Massapequa Park, NY 11762-3737

Phone

(516) 541-7344

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

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Smile Creations Dental Doing business as

Practitioners 1

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

• Allan Mohr, DDS

  • Dentist
  • Massapequa Park, NY
  • NPI 1629179833
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1386328490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLOCK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623737",
            "telephone_number": "516-541-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BLOCK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623737",
            "telephone_number": "516-541-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CREATIONS DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Creations Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Sheridan, CCC-SLP
• Marisa Anne Simmons, PHARM D.
• Sleep Disorder Center P.C.
• Madison Sleszynski, RN, IBCLC
• Meghan Anne Sloan, PA-C
• Carolyn Smith, RN
• Sean Patrick Smith, P.T.
• Amanda E Snizek, LCSW
• Judy Ann Snyder, DPT
• Erica Ann Sosnowski, NP

• General Practice Dentistry in Massapequa Park, NY
• Providers in Massapequa Park, 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 Jun 12, 2023; 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.