Awesome Smiles

Primary specialty

DentistTaxonomy code 122300000X

License

10815 Issued in CT

Legal business name

AWESOME SMILES

Doing business as

East Main Dental

Practice address

1163 E Main St
Bridgeport, CT 06608-1620

Phone

(203) 540-5577

NPI assigned

Nov 8, 2014

Last updated

Dec 14, 2015By 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. VJ Singh

Title

Dentist

Phone

(203) 456-4789

Specialties & licenses 1

Addresses

Other names 1

• East Main Dental Doing business as

Locations

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1548666142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BARNUM AVE",
            "address_2": "BARNUM DENTAL",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081620",
            "telephone_number": "203-540-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "VJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-456-4789",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Main Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amoy Austin
• Authentic Health Care LLC
• Authentic Health Care LLC
• Esther Avelino Neris, DC
• Wendy Mariko Awa, APRN
• Olusegun Joshua Awodele, PHARM. D
• Leah Mae Azab, MD
• Mehran Azar, DDS
• Abra Aziagbe-Zilevu, MD
• Omar Azrak, MD

• Dentist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.