Active NPI
We Create Smiles II, LLC
- Dentist
- Middletown, CT
National Provider Identifier
1861888208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 007660
- Legal business name
- WE CREATE SMILES II, LLC
- Practice address
- 80 S Main St
Unit 203
Middletown, CT 06457-3648 - Phone
- (860) 346-6872
- Fax
- (860) 346-6879
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Ann Miller Cozean, DDS
- Title
- Owner
- Phone
- (203) 245-9607
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 007660 | CT | Primary |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
80 S Main St
Unit 203
Middletown, CT 06457-3648
Mailing address
80 S Main St
Unit 203
Middletown, CT 06457-3648
Phone (860) 346-6872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002076603 | Medicaid | CT |
Other names 1
- Laura A Miller, DDS
National Provider Directory
National Provider DirectoryLocations
80 S Main St
Ste 203
Middletown, CT 06457
Phone (860) 346-6872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1861888208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"address_2": "UNIT 203",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-346-6872",
"fax_number": "860-346-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 S MAIN ST",
"address_2": "UNIT 203",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573648",
"telephone_number": "860-346-6872",
"fax_number": "860-346-6879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WE CREATE SMILES II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "MILLER COZEAN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-245-9607",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "007660",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002076603",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laura A Miller, DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.