Smile Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47551 Issued in CA

Legal business name

SMILE STUDIO

Practice address

190 N Mountain Ave
Upland, CA 91786-5708

Phone

(909) 981-6400

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Phil Ra, DDS

Title

Owner/Dentist

Phone

(909) 981-6400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Cutler Domb, DMD

  • General Practice Dentistry
  • Upland, CA
  • NPI 1215901335
  NPD (past)
• Mojgan Maher, DDS

  • Dentist
  • Upland, CA
  • NPI 1831377423
  NPD (past)

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433635200000",
    "number": "1710376249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865708",
            "telephone_number": "909-981-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865708",
            "telephone_number": "909-981-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-06-07",
        "status": "A",
        "authorized_official_last_name": "RA",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-981-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Skibar, NP
• Skinphysicians & Surgeons Medical Group, Inc.
• Skyline Medical Associates Inc
• Pamela Slocum
• Victoria Smalley
• Smileneeds Dental
• Anthony W Smith
• Brenda Smith, NURSE PRACTITIONER
• Claire Smith
• Jamie Roshonnda Smith

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; 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.