Smile Dental Revere LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE DENTAL REVERE LLC

Practice address

144 Broadway # 2
Revere, MA 02151-5349

Phone

(781) 284-2275

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Bella Yanovsky

Title

Manager

Phone

(781) 284-2275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1679209340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BROADWAY # 2",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515349",
            "telephone_number": "781-284-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BROADWAY # 2",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515349",
            "telephone_number": "781-284-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL REVERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "YANOVSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-284-2275",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Silvia, DPT
• Charles Lewis Silvius III, D.D.S.
• Robert J Sims III
• Smart Choice Healthcare Agency LLC
• Yvonne May Smikle, M.D.
• Smile Dental, PC
• Emily Wylene Smith, P.T.
• Maggie Marie Smith
• Michael Jinguk Sohn
• Avital Lena Sokolow Silverman

• Dentist in Revere, MA
• Providers in Revere, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.