Pleasant Smiles Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19922 Issued in MI

Legal business name

PLEASANT SMILES DENTAL CARE, PLLC

Doing business as

Aspen Dental

Practice address

4459 E Blue Grass Rd
Suite D
Mt Pleasant, MI 48858-9697

Phone

(989) 773-0100

Fax

(989) 773-0101

NPI assigned

Dec 2, 2015

Last updated

Dec 2, 2015By 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

Jason Bertollini

Title

PRM

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Practitioners 2

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.

• Alifiya Barodawalla, DDS

  • General Practice Dentistry
  • Mt Pleasant, MI
  • NPI 1972751717
  NPD (past)
• Pallavi Venkateshaiah, DDS

  • General Practice Dentistry
  • Saginaw, MI
  • NPI 1851626675
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1790150779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 E BLUE GRASS RD",
            "address_2": "SUITE D",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589697",
            "telephone_number": "989-773-0100",
            "fax_number": "989-773-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT SMILES DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRM",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Flynn Pittsley, PT
• Planned Parenthood of West & Northern Michigan, Inc
• Pleasant Chiropractic PC
• Pleasant Dreams Sleep Center LLC
• Pleasant Orthodontics
• Steven Owen Podolsky, M.D.
• Meghan C Pols, PA-C
• Christina Pontious, MA, LPC
• Poole Chiropractic Inc PC
• Cindy Lu Poole, D.C.

• General Practice Dentistry in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.