Smile by Design Windsor LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

P07893 Issued in CT

Legal business name

SMILE BY DESIGN WINDSOR LLC

Practice address

697 Poquonock Avenue
Windsor, CT 06010-2259

Phone

(860) 219-0932

Fax

(860) 219-1482

NPI assigned

Mar 26, 2013

Last updated

Jul 21, 2022By 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

Saleh Akbar

Title

Operations Manager

Phone

(860) 219-0932

Specialties & licenses 6

Addresses

Other names 1

• Kids Dental Care Windsor LLC Former legal business name

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548502750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 566",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060102259",
            "telephone_number": "860-219-0932",
            "fax_number": "860-219-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 POQUONOCK AVENUE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060102259",
            "telephone_number": "860-219-0932",
            "fax_number": "860-219-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BY DESIGN WINDSOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AKBAR",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "860-219-0932"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "P07893",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "11249",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "006903",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Care Windsor LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kids Dental Care Windsor LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ilean Simpson, RN
• Sharla Sklener, LADC
• Jessie-Fern Lynn Slyne
• Shauni Small
• Charles E Smalls
• Smiles of Windsor, LLC (Signature Smiles Family Dentistry)
• Aaron Smith
• Anabela Dasilva Smith, PH.D.
• Christine C Smith, OTR
• Elizabeth Kraimer Smith, LCSW

• Pediatric Dentistry in Windsor, CT
• Providers in Windsor, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.