Smile Design Specialist, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE DESIGN SPECIALIST, L.L.C.

Practice address

312 Belleville Turnpike
Suite 3-B
North Arlington, NJ 07031-6460

Phone

(201) 991-1228

Fax

(201) 991-7227

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ekstein, D.M.D.

Title

President

Phone

(201) 991-1228

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1447507785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TURNPIKE",
            "address_2": "SUITE 3-B",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316460",
            "telephone_number": "201-991-1228",
            "fax_number": "201-991-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TURNPIKE",
            "address_2": "SUITE 3-B",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316460",
            "telephone_number": "201-991-1228",
            "fax_number": "201-991-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN SPECIALIST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "EKSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-991-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.