Active NPI
Smile Space Dentistry PLLC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1659280154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILE SPACE DENTISTRY PLLC
- Practice address
- 557 Atlantic Ave Unit 2
Brooklyn, NY 11217-4946 - Phone
- (717) 395-3144
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corey Lavelle Black, DMD
- Title
- Chief Executive Officer
- Phone
- (717) 395-3144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
557 Atlantic Ave Unit 2
Brooklyn, NY 11217-4946
Mailing address
557 Atlantic Ave Unit 2
Brooklyn, NY 11217-4946
Phone (717) 395-3144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1659280154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 ATLANTIC AVE UNIT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174946",
"telephone_number": "717-395-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 ATLANTIC AVE UNIT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174946",
"telephone_number": "717-395-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE SPACE DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "LAVELLE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "717-395-3144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.