Springfield Smiles Youth Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRINGFIELD SMILES YOUTH DENTISTRY, LLC

Practice address

376 Cooley St
Springfield, MA 01128-1144

Phone

(413) 796-1616

Fax

(413) 796-1617

NPI assigned

Nov 10, 2006

Last updated

Jul 9, 2014By 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

Mrs. Jenell Stump

Title

Manager, Licensing & Credentialing

Phone

(615) 750-0343

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 6

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.

• Hoang Dang, DDS

  • Dentist
  • Springfield, MA
  • NPI 1992579767
  NPD (past)
• Bennett Ian Galperin, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, MA
  • NPI 1558979195
  NPD (past)
• Sonam Sheth, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, MA
  • NPI 1841773785
  NPD (past)
• Bilal Ahmed, DDS

  • Dentist
  • Cincinnati, OH
  • NPI 1093971632

  General Practice

  NPD (past)
• Ying-Hsien Huang, D.M.D

  • Dentist
  • Bristol, CT
  • NPI 1215349188
  NPD (past)
• Cherice Singee Lim, DDS

  • Pediatric Dentistry
  • Auburn, ME
  • NPI 1982124855

  General Practice

  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1568533727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARCADE UNIT 198747",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191994",
            "telephone_number": "615-750-0343",
            "fax_number": "615-986-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 COOLEY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011281144",
            "telephone_number": "413-796-1616",
            "fax_number": "413-796-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SMILES YOUTH DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "MANAGER, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110070584A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568533727",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Preparatory Charter School
• Springfield Radiation Oncology
• Springfield Radiation Oncology Associates, PC
• Springfield Rehabilitation Center Inc.
• Springfield Smiles and Implants
• Andrew Christopher Spruce, MD
• Karissa Ann Spurgeon, LMHC, M.ED.
• Maura J Squires, NP
• Chloe Hardy Squitiero, MA
• SRC Springfield, Inc. (Wingate at Springfield Rehab. & Skilled Nsg. Residence)

• General Practice Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.