Smile Central Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

DI21533 Issued in NJ

Legal business name

SMILE CENTRAL DENTAL PC

Practice address

140 Market Street
3Rd Floor
Paterson, NJ 07505

Phone

(973) 742-4200

Fax

(973) 742-4997

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Grunstein, DMD

Title

Owner

Phone

(973) 742-4200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1629089909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MARKET STREET",
            "address_2": "3RD FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-742-4200",
            "fax_number": "973-742-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MARKET STREET",
            "address_2": "3RD FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-742-4200",
            "fax_number": "973-742-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTRAL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "GRUNSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-742-4200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI21533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083518",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sali Slim, MD
• Henry Slomowitz, DPM
• Shanique Slowley-Azeez
• Smile Central Dental Camden P.C.
• Smile Central Dental Camden P.C.
• Smile Central Orthodontics, P.C.
• Alexis Rae Smith, MD
• Khadijah Smith
• Linda Gwyn Smith, CSW
• Melonie D Smith, NP

• Dentist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.