Smile Studio Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47894 Issued in CA

Legal business name

SMILE STUDIO FAMILY DENTISTRY

Practice address

3906 Decoto Rd
Fremont, CA 94555-3114

Phone

(510) 818-9648

Fax

(510) 818-9748

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Felipe Halili Galvan Jr., DDSNPI 1790942340

Title

Dentist

Phone

(510) 818-9648

Specialties & licenses 1

Addresses

Other names 1

• galvan-exconde, llc Doing business as

Locations

Practitioners 1

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

• Felipe Halili Galvan Jr., DDS

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1790942340
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1447417001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 DECOTO RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553114",
            "telephone_number": "510-818-9648",
            "fax_number": "510-818-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 DECOTO RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553114",
            "telephone_number": "510-818-9648",
            "fax_number": "510-818-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "HALILI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-818-9648",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "galvan-exconde, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Shawn Slone, D.C
• James Patrick Slone, DC
• Michael J Slone, DC, DACNB
• Catherine Esther Smally, DNP, FNP-BC
• Kay L Smarzinski, O.D.
• Emily Lynn Smiley, OT
• Alicia Sharnet Smith
• Amy Elizabeth Smith, PA
• Brandon J Smith, SUDCC I
• Brian E Smith, M.D.

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.