Gracious Smiles, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DI19272 Issued in NJ

Legal business name

GRACIOUS SMILES, INC.

Practice address

121 Market St.
Camden, NJ 08102

Phone

(609) 744-1200

Fax

(856) 983-9003

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Melba Patricia Bonelli, DMD

Title

Ceo

Phone

(609) 923-5730

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1760992432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARKET ST.",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "609-744-1200",
            "fax_number": "856-983-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MARKET ST.",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "609-744-1200",
            "fax_number": "856-983-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "BONELLI",
        "authorized_official_first_name": "MELBA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-923-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI19272",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nicole Goulet, DO
• Bharathi Gourkanti, MD
• Zaina Gowani, MD
• Karsten Grabski, MD
• Theresa Grace, GNP-BC, MSN, CWOCN
• William R Graessle, MD
• William Ryan Graessle, MD
• Jaclyn Graham, CRNA
• Trina N Graham, PA
• Generosa Grana, MD

• Dentist in Camden, NJ
• Providers in Camden, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.