Smiles Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES DENTAL P.C.

Practice address

510 W Madison Ave
Norfolk, NE 68701-5231

Phone

(402) 371-9552

Fax

(402) 371-9563

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kallie Krugman, DDSNPI 1750540845

Title

Dentist

Phone

(402) 371-9552

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kallie Marie Krugman, D.D.S.

  • General Practice Dentistry
  • Norfolk, NE
  • NPI 1750540845
  NPD Authorized official

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1851908776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MADISON AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015231",
            "telephone_number": "402-371-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MADISON AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015231",
            "telephone_number": "402-371-9552",
            "fax_number": "402-371-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "KALLIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-371-9552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Slattery
• Kristen Slizoski
• Ronda Slocum
• McKenna Slonecker
• Small Steps
• Amaya Chase Smith
• Autumn Smith
• Ava Smith
• Cheryl L Smith
• Cheyenne L Smith

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.