Smile Family Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE FAMILY DENTAL GROUP

Doing business as

Smile Family Dental Group

Practice address

565 W 125TTH St 2
New York, NY 10027

Phone

(212) 470-1001

Fax

(800) 604-6146

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jae Kim, MDNPI 1548632607

Title

Owner

Phone

(212) 470-1001

Specialties & licenses 1

Addresses

Other names 1

• Smile Family Dental Group Doing business as

Locations

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.

• Jae Kim, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bridgeport, CT
  • NPI 1548632607

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1720786379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 125TTH ST 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10027",
            "telephone_number": "212-470-1001",
            "fax_number": "800-604-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 125TTH ST 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10027",
            "telephone_number": "212-470-1001",
            "fax_number": "800-604-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-470-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janel Ann Smietana, M.D.
• Paulina Smietanka
• Daniel Smigiel, MHC
• Zeta Marjorie Smikle-Hamilton, NP
• Smile Design Dental Studio PLLC
• Smile Family Dentist
• Smile Family Dentist
• Smile in the City Dental Group
• Smile in the City Dental Group, PLLC
• Smile in the City Dental Group, PLLC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.