Organization Active NPI

Smile on Dental PLLC

  • Dental Clinic/Center
  • Westbury, NY
National Provider Identifier
1417669052
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE ON DENTAL PLLC
Practice address
265 Post Ave Ste 380
Westbury, NY 11590-2234
Phone
(631) 428-4331
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Sornanong Yaibuathes, DDSNPI 1689095747
Title
Dentist
Phone
(631) 428-4331

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 Primary

Addresses

Primary practice location

265 Post Ave Ste 380
Westbury, NY 11590-2234

Mailing address

100 Beekman St Apt 25E
New York, NY 10038-1820

Other names 1

  • Smile On Westbury Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1417669052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEEKMAN ST APT 25E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POST AVE STE 380",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902234",
            "telephone_number": "631-428-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "YAIBUATHES",
        "authorized_official_first_name": "SORNANONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-428-4331",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile On Westbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.