My Smile Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18531 Issued in FL

Legal business name

MY SMILE DENTAL

Practice address

520 48TH Street CT E
Bradenton, FL 34208-5508

Phone

(941) 748-9393

Fax

(941) 748-9696

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Martina Mallery, D.D.S.

Title

Owner/Provider of Services

Phone

(941) 748-9393

Specialties & licenses 1

Addresses

Tax ID family

My Smile Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Smile Dental Inc Dba Advantage Dental Care

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1295044725
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Najafi

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1699259291
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1518294669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 48TH STREET CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085508",
            "telephone_number": "941-748-9393",
            "fax_number": "941-748-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 48TH STREET CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085508",
            "telephone_number": "941-748-9393",
            "fax_number": "941-748-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "MALLERY",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER OF SERVICES",
        "authorized_official_telephone_number": "941-748-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
• Dalal Mustafa, NP
• Beverly Mustaine
• Brigit Ann Mustaine, RMHCI
• Danielle Lee Mustico, DPM
• My Smile Dental Inc Dba Advantage Dental Care
• My Speech Therapy Connection PLLC
• Mycare Home Health, Inc.
• Andrew Jonas Myers, D.C.
• Nicole Elaine Myers, D.O.

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.