Smile Designers, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9363 Issued in CO

Legal business name

SMILE DESIGNERS, PC

Practice address

1246 Main St
Longmont, CO 80501-3824

Phone

(303) 678-7800

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Tracy Lynn Huff

Title

Practice Manager

Phone

(303) 678-7800

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Thomas Palmer Drake, DDS

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1386863587
  NPD (past)
• Maria Shaune Regalado, DMD

  • Dentist
  • Windsor, CO
  • NPI 1275272932

  General Practice

  NPD (past)
• Stephen Paul Sampson, DMD

  • Dentist
  • Longmont, CO
  • NPI 1689780637
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1649770108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013824",
            "telephone_number": "303-678-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013824",
            "telephone_number": "303-678-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-678-7800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Sloan-West, MD
• Charles Porter Sloan III, NP
• Josh Slone
• Amy M Smart, MSW, LCSW, CACLLI
• Cynthia Lee Smart, RPH
• Smiles on the Go
• Nancy Jeanne Smilinich, LPC
• Bonny Smith
• Carter J Smith, PA-C
• Christine A Smith, MD

• General Practice Dentistry in Longmont, CO
• Providers in Longmont, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.