Smile to Smile Family Dental & Sedation Center, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

G1-0001161 Issued in DE

Legal business name

SMILE TO SMILE FAMILY DENTAL & SEDATION CENTER, P.A.

Practice address

429 S Governors Ave
Dover, DE 19904-6707

Phone

(302) 222-8106

Fax

(302) 736-0732

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dawn M Grandison, D.D.S.NPI 1568558542

Title

President

Phone

(302) 222-8106

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Dawn M Grandison, D.D.S.

  • General Practice Dentistry
  • Dover, DE
  • NPI 1568558542
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1386966059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MERION RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042320",
            "telephone_number": "302-222-8106",
            "fax_number": "302-736-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046707",
            "telephone_number": "302-222-8106",
            "fax_number": "302-736-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TO SMILE FAMILY DENTAL & SEDATION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "GRANDISON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-222-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": "G1-0001161",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": "G4-0001201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024575",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001030831",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Skonieczki, MD
• Angel Slaughter, PMHNP-BC
• Jason Slavoski, PHARM.D.
• Sleepcare Centers, Inc.
• Lisa Elphick Smale, DO
• Smith Consultant Group LLC
• Nicole Smith-Mosley, RBT
• Annette Smith
• Breckinridge Sievers Smith II
• Cache Renna Smith

• Dental Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Dental Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.