Smile Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE DENTAL CARE, LLC

Practice address

30 Saint James Ave
Chicopee, MA 01020-2453

Phone

(508) 353-0675

NPI assigned

Aug 3, 2019

Organization subpart

No

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

Authorized official

Name

Zheng Shi

Title

Owner

Phone

(508) 353-0675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1699320002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BIRCH BRUSH RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451695",
            "telephone_number": "617-331-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SAINT JAMES AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202453",
            "telephone_number": "508-353-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "ZHENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-353-0675"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chicopee, MA
• Providers in Chicopee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.