Smile Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1915 Issued in ND

Legal business name

SMILE STUDIO

Practice address

1517 12TH Ave NE
Jamestown, ND 58401-2703

Phone

(701) 252-1212

Fax

(701) 252-1839

NPI assigned

Mar 2, 2015

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alison Fallgatter, DDS, MSNPI 1144431909

Title

President

Phone

(701) 252-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Alison M Fallgatter, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jamestown, ND
  • NPI 1144431909
  NPD Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1780076653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 12TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012703",
            "telephone_number": "701-252-1212",
            "fax_number": "701-252-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 12TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012703",
            "telephone_number": "701-252-1212",
            "fax_number": "701-252-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "FALLGATTER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-252-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41512",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sisters of Mary of the Presentation Long Term Care (SMP Health - Ave Maria)
• Rebecca Siveny
• Bradly Skari, MD
• Mallory Skorheim, D.O.
• Mindy L Skunberg, LAPC
• Abigayle Christine Jane Smith, RBT
• Cherith Smith, CNA
• Daniel A Smith
• Lanisa Smith
• Sharon Smith

• Dental Clinic/Center in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.