Great Smiles Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI20733 Issued in NJ

Legal business name

GREAT SMILES ORTHODONTICS

Practice address

559 Speedwell Ave
Morris Plains, NJ 07950-2122

Phone

(908) 347-5724

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj Puri, DDS

Title

Co-Owner

Phone

(908) 347-5724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1750809232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEBRA CT",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762827",
            "telephone_number": "908-347-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502122",
            "telephone_number": "908-347-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-347-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI20733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Goldberg, SLP
• Larry A Goldfarb, D.C.
• Olga Gonzalez-Byrne, FNP
• Kai Gordon, MA, BCBA
• Katherine Gray, OT
• Taylor Leigh Greco, OTR/L
• Rebecka Ann Green, LCSW, LCADC
• Greystone Park Psychiatric Hospital
• Greystone Park Psychiatric Hospital
• Caroline Marie Grossmann, PH.D., LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.