Smile Doctor Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DE10512 Issued in WA

Legal business name

SMILE DOCTOR INC.

Practice address

8811 S Tacoma Way Ste 103
Lakewood, WA 98499-4595

Phone

(253) 983-9090

Fax

(253) 983-1225

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Helen M Jang, DDS

Title

President

Phone

(253) 983-9090

Specialties & licenses 1

Addresses

Other names 1

• Smile Dr. family & cosmetic dentistry Doing business as

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1689928376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 103",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-983-9090",
            "fax_number": "253-983-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 103",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-983-9090",
            "fax_number": "253-983-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DOCTOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-983-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE10512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dr. family & cosmetic dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sage Amber Small
• Kellen Smalley
• Paige Smart, MS
• Shelley L Smathers, BS PT
• Holly Smelt
• Smile Dr. Family & Cosmetic Dentistry
• Smiling Heart Adult Family Home LLC
• Tammy Smith-Brown
• Emillie Smith-Mees
• Bridget Jean Smith, LPN

• Dentist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.