Organization Active NPI

Smillie Dental Ormond PLLC

  • General Practice Dentistry
  • Ormond Beach, FL
National Provider Identifier
1801613872
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILLIE DENTAL ORMOND PLLC
Practice address
194 Vining CT
Ormond Beach, FL 32176-6658
Phone
(386) 672-0095
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Dr. Helen Smillie, DMDNPI 1013447770
Title
Owner Dentist
Phone
(386) 672-0095

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

194 Vining CT
Ormond Beach, FL 32176-6658

Mailing address

194 Vining CT
Ormond Beach, FL 32176-6658
Phone (386) 672-0095

Other names 1

  • Smillie Dental Doing business as

National Provider Directory

National Provider Directory

Locations

194 Vining Ct
Ormond Beach, FL 32176
Phone (386) 672-0095

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1801613872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-672-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-672-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILLIE DENTAL ORMOND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "SMILLIE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "386-672-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smillie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.