Organization Active NPI

Smile Partners of Havre de Grace

  • General Practice Dentistry
  • Havre de Grace, MD
National Provider Identifier
1831555648
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9872 Issued in MD
Legal business name
SMILE PARTNERS OF HAVRE DE GRACE
Practice address
333 Green St
Havre de Grace, MD 21078-2911
Phone
(410) 939-4030
Fax
(410) 939-3863
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
James E Schall III, DDS
Title
President
Phone
(410) 939-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9872 MD Primary

Addresses

Primary practice location

333 Green St
Havre de Grace, MD 21078-2911

Mailing address

333 Green St
Havre de Grace, MD 21078-2911
Phone (410) 939-4030

National Provider Directory

National Provider Directory

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1831555648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GREEN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782911",
            "telephone_number": "410-939-4030",
            "fax_number": "410-939-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GREEN ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782911",
            "telephone_number": "410-939-4030",
            "fax_number": "410-939-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PARTNERS OF HAVRE DE GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-939-4030",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.