NPIMap

Organization Active NPI

Smile Zone Dentistry Clintondale PC

  • Dentist
  • Clintondale, NY
National Provider Identifier
1740590637
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049729-1 Issued in NY
Legal business name
SMILE ZONE DENTISTRY CLINTONDALE PC
Practice address
2 Maple Ave.
Clintondale, NY 12515
Phone
(845) 883-6849
Fax
(845) 883-0919
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Samir Bajaj
Title
Director
Phone
(845) 883-6849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 049729-1 NY Primary

Addresses

Primary practice location

2 Maple Ave.
Clintondale, NY 12515

Mailing address

2 Maple Ave.
Clintondale, NY 12515
Phone (845) 883-6849

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1740590637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAPLE AVE.",
            "city": "CLINTONDALE",
            "state": "NY",
            "postal_code": "12515",
            "telephone_number": "845-883-6849",
            "fax_number": "845-883-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAPLE AVE.",
            "city": "CLINTONDALE",
            "state": "NY",
            "postal_code": "12515",
            "telephone_number": "845-883-6849",
            "fax_number": "845-883-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE DENTISTRY CLINTONDALE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-883-6849"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049729-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clintondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.