Elite Smiles Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE SMILES DENTAL, LLC

Practice address

1024 Lafayette Ave
Terre Haute, IN 47804-2932

Phone

(812) 234-7322

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Shelbey Mayhew

Title

Controller

Phone

(812) 234-7322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven M Pilipovich, D.D.S.

  • Pediatric Dentistry
  • Terre Haute, IN
  • NPI 1326038498
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1427628684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073817",
            "telephone_number": "812-234-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042932",
            "telephone_number": "812-234-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "MAYHEW",
        "authorized_official_first_name": "SHELBEY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-234-7322"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Eisman
• Reem Shaalan El-Sandid
• Anna Elder, MD
• Lori Ann Eldred, RPH
• Joel N Elias, M.D.
• Jeffrey Elkin
• Brooke Ashley Ell, NP-C
• Leah Marie Ellermann
• Erica Elliott, NP
• Anna Ellis, LMHC

• Dental Clinic/Center in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.