Healthy Smiles Dental Care, S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4424 Issued in WI

Legal business name

HEALTHY SMILES DENTAL CARE, S.C.

Practice address

285 Forest Grove Dr
Suite 201
Pewaukee, WI 53072-3782

Phone

(262) 695-1515

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Dr. Afshin Hamedi, DDSNPI 1164542239

Title

President

Phone

(262) 695-1515

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, and the practitioner matching its NPPES authorized official.

• Afshin Hamedi, DDS

  • General Practice Dentistry
  • Pewaukee, WI
  • NPI 1164542239
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477673556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR",
            "address_2": "SUITE 201",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723782",
            "telephone_number": "262-695-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR",
            "address_2": "SUITE 201",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723782",
            "telephone_number": "262-695-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMEDI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-695-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Susanne Hansen, RN
• Lilita V. Hardes, LCSW
• Pauline F Haririe, APNP
• Mariah Marie Harris, PA-C
• Milania Hayden, RN
• Heart & Vascular Institute, LLC
• Sara Mockert Heberlein, PT
• Elizabeth Marie Helm, NP
• Wyatt Henkenius, LAT, ATC
• Nicole Eve Herdegen, ATRL-BC

• General Practice Dentistry in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.