A Smile by Design

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7081 Issued in CO

Legal business name

A SMILE BY DESIGN

Practice address

3057 Main Ave
Durango, CO 81301-4244

Phone

(970) 247-5874

NPI assigned

Sep 2, 2010

Last updated

Sep 2, 2010By 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. Michael Fletcher, DDS, MS

Title

Owner

Phone

(970) 247-5874

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.

• Daniella Anne Phillis, D.M.D.

  • Dentist
  • Durango, CO
  • NPI 1588090831
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1508173162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014244",
            "telephone_number": "970-247-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SMILE BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-247-5874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Durango, CO
• Providers in Durango, 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 Sep 2, 2010; 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.