Organization Active NPI

Allsmiles Family & Cosmetic Dentistry

  • Dentist
  • Dover, DE
National Provider Identifier
1699841882
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0001189 Issued in DE
Legal business name
ALLSMILES FAMILY & COSMETIC DENTISTRY
Practice address
95 Wolf Creek Blvd
Suite # 3
Dover, DE 19901-4962
Phone
(302) 734-5303
Fax
(302) 734-5305
NPI assigned
Nov 28, 2006
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Dr. Neena Mukkamala, D.D.S.NPI 1033217005
Title
Owner
Phone
(302) 734-5303

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G1-0001189 DE Primary

Addresses

Primary practice location

95 Wolf Creek Blvd
Suite # 3
Dover, DE 19901-4962

Mailing address

95 Wolf Creek Blvd
Suite # 3
Dover, DE 19901-4962
Phone (302) 734-5303

Other identifiers 1

IdentifierTypeStateIssuer
1000040831MedicaidDE

National Provider Directory

National Provider Directory

Locations

95 Wolf Creek Blvd
Ste 3
Dover, DE 19901
Phone (302) 734-5303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1699841882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOLF CREEK BLVD",
            "address_2": "SUITE # 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014962",
            "telephone_number": "302-734-5303",
            "fax_number": "302-734-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOLF CREEK BLVD",
            "address_2": "SUITE # 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014962",
            "telephone_number": "302-734-5303",
            "fax_number": "302-734-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSMILES FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "MUKKAMALA",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-734-5303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040831",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.