Active NPI
Briana L. Oller, D.M.D., P.C.
Doing business as Simply Smiles
- General Practice Dentistry
- Glen Carbon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019026211
- Legal business name
- BRIANA L. OLLER, D.M.D., P.C.
- Doing business as
- Simply Smiles
- Practice address
- 25 Glen Ed Professional Park
Glen Carbon, IL 62034-3333 - Phone
- (618) 692-6040
- Fax
- (618) 692-6081
- NPI assigned
- Jun 2, 2008
- Last updated
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Briana Leigh Oller, DMD
- Title
- President/Dentist
- Phone
- (618) 567-8487
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019026211 | IL | Primary |
Addresses
Primary practice location
25 Glen Ed Professional Park
Glen Carbon, IL 62034-3333
Mailing address
6824 Deer CRK
Edwardsville, IL 62025-3060
Phone (618) 567-8487
Other names 1
- Simply Smiles
National Provider Directory
National Provider DirectoryLocations
25 Glen Ed Professional Park
Glen Carbon, IL 62034
Phone (314) 496-7354
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.
-
- Dentist
- Glen Carbon, IL
- NPI 1841462629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1770741183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6824 DEER CRK",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253060",
"telephone_number": "618-567-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GLEN ED PROFESSIONAL PARK",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343333",
"telephone_number": "618-692-6040",
"fax_number": "618-692-6081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIANA L. OLLER, D.M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "OLLER",
"authorized_official_first_name": "BRIANA",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "618-567-8487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Simply Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.