Staten Island Smile Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0555071 Issued in NY

Legal business name

STATEN ISLAND SMILE DENTAL PLLC

Practice address

621 Katan Ave
Staten Island, NY 10312-3422

Phone

(718) 948-4000

Fax

(718) 948-4001

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rocco Diantonio, DDS

Title

Managing Member

Phone

(718) 948-4000

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira Camhi, DDS

  • Dentist
  • Staten Island, NY
  • NPI 1205810728
  NPD (past)
• Joseph Carlo Lattinelli, D.M.D.

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1033253513
  NPD (past)
• Besa Marisenoj, DMD

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1316184500
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1639622020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KATAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123422",
            "telephone_number": "718-948-4000",
            "fax_number": "718-948-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KATAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123422",
            "telephone_number": "718-948-4000",
            "fax_number": "718-948-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND SMILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "DIANTONIO",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-948-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0555071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staten Island Podiatry, P.C.
• Staten Island Psychotherapy LCSW PLLC
• Staten Island Pulmonary Assoc PC
• Staten Island Rehabilitation Medicine PC
• Staten Island Reproductive Medicine PLLC
• Staten Island Smiles at the Pavillion
• Staten Island Social Adult Day Care Inc
• Staten Island Special Surgery P.C.
• Staten Island Sports Chiropractic, P.C.
• Staten Island Surgical Associates, PC

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.