Organization Active NPI

Gorgeous Smiles Dental Meriden PLLC

  • General Practice Dentistry
  • Meriden, CT
National Provider Identifier
1700791266
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GORGEOUS SMILES DENTAL MERIDEN PLLC
Practice address
533 S Broad St Ste 24
Meriden, CT 06450-6661
Phone
(203) 238-7968
NPI assigned
Aug 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mr. Raymond Joseph Belisle Jr., COO
Title
Coo
Phone
(860) 978-3294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

533 S Broad St Ste 24
Meriden, CT 06450-6661

Mailing address

533 S Broad St Ste 24
Meriden, CT 06450-6661
Phone (203) 238-7968

National Provider Directory

National Provider Directory

Locations

533 S Broad St
Ste 24
Meriden, CT 06450

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1700791266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S BROAD ST STE 24",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506661",
            "telephone_number": "203-238-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S BROAD ST STE 24",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506661",
            "telephone_number": "203-238-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGEOUS SMILES DENTAL MERIDEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "860-978-3294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.