Organization Active NPI

Amazing Smiles Dental, LLC

  • General Practice Dentistry
  • Mason, OH
National Provider Identifier
1669645461
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OH21536 Issued in OH
Legal business name
AMAZING SMILES DENTAL, LLC
Practice address
8571 S Mason Montgomery Rd BLDG 300
Mason, OH 45040-9808
Phone
(513) 770-6790
Fax
(513) 770-6794
NPI assigned
Apr 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dr. Syed Haider Ali Hassan, D.D.S.NPI 1285704437
Title
Owner
Phone
(513) 367-9464

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X OH21642 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X OH21536 OH Primary

Addresses

Primary practice location

8571 S Mason Montgomery Rd BLDG 300
Mason, OH 45040-9808

Mailing address

8571 S Mason Montgomery Rd Ste 37
Mason, OH 45040-9808
Phone (513) 770-6790

Other identifiers 1

IdentifierTypeStateIssuer
2492726MedicaidOH

National Provider Directory

National Provider Directory

Locations

1140 Harrison Ave
Harrison, OH 45030

8571 S Mason Montgomery Rd
Bldg 300
Mason, OH 45040
Phone (513) 770-6790

8571 S Mason Montgomery Rd
Ste 37
Mason, OH 45040
Phone (513) 770-6790

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": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1669645461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 S MASON MONTGOMERY RD STE 37",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409808",
            "telephone_number": "513-770-6790",
            "fax_number": "513-770-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 S MASON MONTGOMERY RD BLDG 300",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409808",
            "telephone_number": "513-770-6790",
            "fax_number": "513-770-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING SMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HAIDER ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-367-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "OH21642",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH21536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492726",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.