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

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. Judith Mamah, DMDNPI 1760467930

Title

President

Phone

(201) 343-4302

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.

• Judith Mamah, D.M.D.

  • General Practice Dentistry
  • Hackensack, NJ
  • NPI 1760467930
  Authorized official Same address or phone

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": []
}

• Megha Desai, FNP-C
• Ravi Desai
• Samit Desai, M.D.
• Vivek Arvind Desai, PA-C
• Designing Smiles Igen Dental LLC
• Friahne Desiongco
• Karen Deslouches, MD
• Bethany Desroches, MD, MS
• Alyssa Destefano, NP
• Phillip Sunil Devadan, M.D.

• 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.