Beautiful Smiles Elbridge, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038541 Issued in NY

Legal business name

BEAUTIFUL SMILES ELBRIDGE, LLC

Practice address

239 E Main St
Elbridge, NY 13060-8706

Phone

(315) 277-5039

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Gerard Nangle, DDS

Title

Partner/Dentist

Phone

(315) 277-5039

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1740603000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E MAIN ST",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130608706",
            "telephone_number": "315-277-5039",
            "fax_number": "315-277-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E MAIN ST",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130608706",
            "telephone_number": "315-277-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES ELBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "NANGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "315-277-5039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00842439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Alcock
• William Scott Allyn, MD
• Anthony M Alphonso, D.C.
• Lisa Ann Brown, RPH
• Erin Calhoun, FNP
• Amy E Cole, PHARMD
• Elderchoice Inc.
• Amanda Rose Garcia, PHARMD

• General Practice Dentistry in Elbridge, NY
• Providers in Elbridge, 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 Jan 22, 2014; 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.