Organization Active NPI

Smiles of Windsor, LLC

  • General Practice Dentistry
  • Windsor, CT
National Provider Identifier
1861905036
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF WINDSOR, LLC
Doing business as
Signature Smiles Family Dentistry
Signature Smiles of windsor
Practice address
408 Windsor Ave
Windsor, CT 06095-4467
Phone
(860) 503-9095
Fax
(860) 644-1118
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dr. Jatinder Sharma, DDSNPI 1952700353
Title
Owner
Phone
(860) 503-9095

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

408 Windsor Ave
Windsor, CT 06095-4467

Mailing address

408 Windsor Ave
Windsor, CT 06095-4467
Phone (860) 904-5015

Other names 2

  • Signature Smiles Family Dentistry Doing business as
  • Signature Smiles of windsor Doing business as

National Provider Directory

National Provider Directory

Locations

1540 Pleasant Valley Rd
Ste G
Manchester, CT 06042
Phone (860) 644-1095

Practitioners & affiliated clinicians

Practitioners 1

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1861905036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954467",
            "telephone_number": "860-904-5015",
            "fax_number": "860-519-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WINDSOR AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954467",
            "telephone_number": "860-503-9095",
            "fax_number": "860-644-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF WINDSOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "JATINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-503-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Smiles of windsor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Smiles of windsor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.