Designing Smiles LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI20512 Issued in NJ

Legal business name

DESIGNING SMILES LLC

Practice address

121 Elm Avenue
First Floor
Hackensack, NJ 07601

Phone

(201) 343-4302

Fax

(201) 343-4304

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Judith Mamah, DMD

Title

President

Phone

(201) 343-4302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528126307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ELM AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-343-4302",
            "fax_number": "201-343-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ELM AVENUE",
            "address_2": "FIRST FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-343-4302",
            "fax_number": "201-343-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNING SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMAH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-343-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI20512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Desai
• Samit Desai, M.D.
• Vivek Arvind Desai, PA-C
• Jose Deschamps
• Designing Smiles Igen Dental LLC
• Karen Deslouches, MD
• Bethany Desroches, MD, MS
• Alyssa Destefano, NP
• Phillip Sunil Devadan, M.D.
• Megan Devlin, NP

• Dental Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Dental Clinic/Center in New Jersey

• 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.