Smile Bar LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE BAR LLC

Practice address

1752 28TH Ave
Greeley, CO 80634-5715

Phone

(303) 808-7722

NPI assigned

May 20, 2024

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Tara Marie Bonneau, RDH, BS, MBANPI 1124873443

Title

Ceo

Phone

(303) 808-7722

Specialties & licenses 1

Addresses

Other names 1

• Smile Bar LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Marie Bonneau, RDH, BS, MBA

  • Dental Hygienist
  • Greeley, CO
  • NPI 1124873443
  Authorized official Same address or phone

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1467291559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 28TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345715",
            "telephone_number": "303-808-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 28TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345715",
            "telephone_number": "303-808-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BONNEAU",
        "authorized_official_first_name": "TARA MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-808-7722",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDH, BS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Bar LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Small Smiles of Greeley, PC
• Gay Lynn Small
• Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
• Megan Ann Smejkal
• Tammie Jo Smeltzer, LPCC
• Smile Doctors of Colorado, P.C.
• Smile Eight Professionals LLC (Comfort Dental & Braces)
• Smile Tec
• Smiles 4 Kids P.C.
• Smith Chiropractic Offices, P.C.

• Dental Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.