L I Dentistry and Smile Design II, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051424 Issued in NY

Legal business name

L I DENTISTRY AND SMILE DESIGN II, P.C.

Practice address

612 W 178TH St
Suite 1
New York, NY 10033-6550

Phone

(212) 795-3246

Fax

(212) 795-3249

NPI assigned

Mar 19, 2014

Organization subpart

Yes

Parent organization

L I DENTISTRY AND SMILE DESIGN, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Porfirio A Nunez, DDS

Title

President

Phone

(212) 795-3246

Specialties & licenses 1

Addresses

Part of

Li Dentistry and Smile Design PC

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1760809586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W 178TH ST",
            "address_2": "1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336550",
            "telephone_number": "212-795-3246",
            "fax_number": "212-795-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 178TH ST",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336550",
            "telephone_number": "212-795-3246",
            "fax_number": "212-795-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L I DENTISTRY AND SMILE DESIGN II, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "L I DENTISTRY AND SMILE DESIGN, P.C.",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "PORFIRIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-795-3246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.