Adroit Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8965 Issued in OR

Legal business name

ADROIT DENTAL

Practice address

5493 Amy St
West Linn, OR 97068-3320

Phone

(503) 710-9839

Fax

(503) 710-9839

NPI assigned

May 17, 2012

Organization subpart

No

Name

Dr. Kirill Anatil Smirnoff, DMD

Title

Secretary

Phone

(503) 710-9839

• Adroit Family Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2012.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1780944231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 AMY ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683320",
            "telephone_number": "503-710-9839",
            "fax_number": "503-710-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 AMY ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683320",
            "telephone_number": "503-710-9839",
            "fax_number": "503-710-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADROIT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "SMIRNOFF",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_middle_name": "ANATIL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "503-710-9839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8965",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56607",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60102390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adroit Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in West Linn, OR
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.