Elite Smile LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE SMILE LLC

Practice address

950 State St
Springfield, MA 01109-3145

Phone

(716) 939-4818

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Sunit Jain, DDS

Title

Owner/ Partner

Phone

(716) 939-4818

Specialties & licenses 1

Addresses

Other names 1

• State Street Dental Doing business as

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1699599480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BREAKNECK HILL RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721806",
            "telephone_number": "716-939-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093145",
            "telephone_number": "716-939-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SUNIT",
        "authorized_official_title_or_position": "OWNER/ PARTNER",
        "authorized_official_telephone_number": "716-939-4818",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tala R Elia, MD
• Rawad Elias, MD
• Morgan Eliasen, DO
• Brittany Eliason, PA-C
• Andrew Kenneth Elin
• Bianca Eve Eliza
• Adel Mohamed Elkbuli, M.D
• Caroline Elkins, LCSW
• Ellen Murphy-Mancini PHD & Associates
• Ellen Rice Rest Home Inc

• Dental Clinic/Center in Springfield, MA
• Providers in Springfield, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.