NPIMap

Organization Active NPI

JJ Smile Dental LLC

  • General Practice Dentistry
  • Fitchburg, MA
National Provider Identifier
1659953032
Registry record updated Apr 25, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JJ SMILE DENTAL LLC
Practice address
435 Main St Ste 2000
Fitchburg, MA 01420-8026
Phone
(417) 379-2218
NPI assigned
Apr 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Authorized official

Name
Dr. Jatinder Singh Jawandha, DMDNPI 1033464128
Title
Owner
Phone
(417) 379-2218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

435 Main St Ste 2000
Fitchburg, MA 01420-8026

Mailing address

435 Main St Ste 2000
Fitchburg, MA 01420-8026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619308800000",
    "number": "1659953032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MAIN ST STE 2000",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MAIN ST STE 2000",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208026",
            "telephone_number": "417-379-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "JAWANDHA",
        "authorized_official_first_name": "JATINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-379-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.