Smile by Design Hartford LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7893 Issued in CT

Legal business name

SMILE BY DESIGN HARTFORD LLC

Practice address

377 Franklin Ave
Hartford, CT 06114-2563

Phone

(860) 296-9910

Fax

(860) 219-1482

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Saleh Al Kharsa, DMD

Title

President

Phone

(860) 219-0933

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1477919058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142563",
            "telephone_number": "860-296-9910",
            "fax_number": "860-219-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142563",
            "telephone_number": "860-296-9910",
            "fax_number": "860-219-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BY DESIGN HARTFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "KHARSA",
        "authorized_official_first_name": "SALEH",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-219-0933",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "7893",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7893",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "7893",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "7893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Small Smiles Dental Center of Hartford West, PC
• Elia Viveca Smalls, FNP-C
• Samantha Rochelle Smalls, LCSW
• Cameale Andrea Smart, M.D.
• Charlotte Jane Smart, APRN
• Smith Counseling and Consulting Services, LLC
• Adrienne Smith, MS, LPCA
• Alexander Smith, MD
• Alexandra Maria Smith, M.D.
• Andrew Smith, PHARMD

• General Practice Dentistry in Hartford, CT
• Providers in Hartford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.