NPIMap

Organization Active NPI

Smillie Dental PLLC

  • Dental Clinic/Center
  • Port Orange, FL
National Provider Identifier
1750981452
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILLIE DENTAL PLLC
Practice address
5537 S Williamson Blvd Ste 675
Port Orange, FL 32128-8314
Phone
(386) 317-4754
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Joseph Smillie, DMDNPI 1841673126
Title
Owner/Dentist
Phone
(321) 446-9037

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

5537 S Williamson Blvd Ste 675
Port Orange, FL 32128-8314

Mailing address

5537 S Williamson Blvd Ste 675
Port Orange, FL 32128-8314
Phone (386) 317-4754

National Provider Directory

National Provider Directory

Locations

5537 S Williamson Blvd
Ste 675
Port Orange, FL 32128
Phone (386) 317-4754

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1750981452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 S WILLIAMSON BLVD STE 675",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288314",
            "telephone_number": "386-317-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 S WILLIAMSON BLVD STE 675",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288314",
            "telephone_number": "386-317-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILLIE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SMILLIE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "321-446-9037",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.