Organization Active NPI

Briana L. Oller, D.M.D., P.C.

Doing business as Simply Smiles

  • General Practice Dentistry
  • Glen Carbon, IL
National Provider Identifier
1770741183
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026211 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Briana Leigh Oller, DMDNPI 1841462629
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.