Scott G Smoron DDS MSD LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.002000 Issued in IL

Legal business name

SCOTT G SMORON DDS MSD LTD

Practice address

421 W. Prospect Ave.
Mount Prospect, IL 60056

Phone

(847) 255-2526

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By 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. Scott G Smoron, DDS MSDNPI 1578517736

Title

Doctor, Owner, President

Phone

(847) 255-2526

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.

• Scott Gregory Smoron, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mount Prospect, IL
  • NPI 1578517736
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1568919025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W. PROSPECT AVE.",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-255-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W. PROSPECT AVE.",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-255-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT G SMORON DDS MSD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SMORON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR, OWNER, PRESIDENT",
        "authorized_official_telephone_number": "847-255-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.