Smile Dental Center

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6137 Issued in LA

Legal business name

SMILE DENTAL CENTER

Practice address

2015 E 70TH St
Shreveport, LA 71105-5305

Phone

(318) 797-3505

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

April M Todd, EDDA

Title

Billing Coordinator

Phone

(318) 797-3505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1720523939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055305",
            "telephone_number": "318-797-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055305",
            "telephone_number": "318-797-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "318-797-3505",
        "authorized_official_credential": "EDDA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Smalley, MD
• Smalls Medical Supply, LLC
• Daphne Smallwood-Smith, MA
• Smart Health Care, Inc
• Hunter Smeltzer
• Smiles on Wheels, LLC
• Angela Smiley
• Latoyia Smith-Pouncy
• Alexis Domonique Smith, BS
• Alison Matlyn Smith, MD

• Customized Equipment (DME) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.