Smiles Dental Alaska, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D00009933 Issued in WA

Legal business name

SMILES DENTAL ALASKA, LLC

Doing business as

Smiles Dental Alaska

Practice address

9138 Arlon St Ste B
Anchorage, AK 99507-3876

Phone

(360) 636-1865

Fax

(360) 232-0109

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Tyler Shoemaker, DMD

Title

Owner

Phone

(509) 468-0490

Specialties & licenses 1

Addresses

Other names 1

• SMILES DENTAL ALASKA Doing business as

Tax ID family

Smiles Dental Alaska2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smiles Dental Group, PC

  • General Practice Dentistry
  • Anchorage, AK
  • NPI 1114387982
  NPD tax ID

Locations

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1649609439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 ARLON ST STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073876",
            "telephone_number": "509-468-0490",
            "fax_number": "509-468-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 ARLON ST STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073876",
            "telephone_number": "360-636-1865",
            "fax_number": "360-232-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES DENTAL ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-468-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "D00009933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILES DENTAL ALASKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Leanne Smart, LCSW
• Kisha Dianne Smaw, BACHELORS
• Mark Francis Smedley, ED.D.
• Luz M Smeenk, M.S., R.D.
• Suzanne Marie Smerjac, PA-C
• Smiles Dental Group, PC
• Ellen Smiley
• Shannon Smiley, M.D.
• Sherrill A Smith Collins, RD
• Jerry Lee Smith II, BHCA

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.