Organization Active NPI

Smile Bright Dental, PLLC

  • Dental Clinic/Center
  • Mahopac, NY
National Provider Identifier
1730905308
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE BRIGHT DENTAL, PLLC
Practice address
572 Route 6
Mahopac, NY 10541-4787
Phone
(845) 628-8196
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Authorized official

Name
Dr. Demetra Malamatenios, DDSNPI 1427558733
Title
Dentist/Owner
Phone
(914) 943-8568

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

572 Route 6
Mahopac, NY 10541-4787

Mailing address

572 Route 6
Mahopac, NY 10541-4787
Phone (845) 628-8196

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1730905308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414787",
            "telephone_number": "845-628-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414787",
            "telephone_number": "845-628-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BRIGHT DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "MALAMATENIOS",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "914-943-8568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.