NPIMap

Organization Active NPI

Pleasantville Smiles Dentistry LLC

Doing business as Pleasantville Smiles

  • Dental Clinic/Center
  • Pleasantville, NY
National Provider Identifier
1790502961
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PLEASANTVILLE SMILES DENTISTRY LLC
Doing business as
Pleasantville Smiles
Practice address
106 Washington Ave
Pleasantville, NY 10570-2854
Phone
(914) 747-0907
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Tiffany Sudre, DDSNPI 1669888343
Title
Owner, Dentist
Phone
(914) 715-6078

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

106 Washington Ave
Pleasantville, NY 10570-2854

Mailing address

106 Washington Ave
Pleasantville, NY 10570-2854
Phone (914) 747-0907

Other names 1

  • Pleasantville Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

106 Washington Ave
Pleasantville, NY 10570
Phone (914) 273-5505

Practitioners & affiliated clinicians

Practitioners 3

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": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1790502961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702854",
            "telephone_number": "914-747-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WASHINGTON AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702854",
            "telephone_number": "914-747-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTVILLE SMILES DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "SUDRE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "914-715-6078",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasantville Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.