NPIMap

Organization Active NPI

The Smilist Dental CT, PLLC

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1659085587
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE SMILIST DENTAL CT, PLLC
Practice address
40 Cuttermill Rd Ste 500
Great Neck, NY 11021-3213
Phone
(562) 965-3304
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Saundra Michele Alvarez
Title
VP Revenue Management
Phone
(562) 965-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

40 Cuttermill Rd Ste 500
Great Neck, NY 11021-3213

Mailing address

2117 Blue Azalea
Aubrey, TX 76227-1592
Phone (562) 965-3304

National Provider Directory

National Provider Directory

Locations

30 Country Squire Dr
Cromwell, CT 06416
Phone (860) 635-6445

836 Farmington Ave
Ste 131
West Hartford, CT 06119
Phone (860) 236-8000

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1659085587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 BLUE AZALEA",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271592",
            "telephone_number": "562-965-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CUTTERMILL RD STE 500",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213213",
            "telephone_number": "562-965-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILIST DENTAL CT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "VP REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "562-965-3304"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.