Smile Ark Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE ARK PEDIATRIC DENTISTRY LLC

Practice address

2480 Black Rock Tpke # S1
Fairfield, CT 06825-2418

Phone

(203) 763-4200

Fax

(203) 763-4232

NPI assigned

Dec 4, 2021

Organization subpart

No

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

Authorized official

Name

Eunice Lee, DMDNPI 1760741318

Title

Dentist

Phone

(617) 372-2532

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.

• Eunice Dongyoon Lee, D.M.D

  • Pediatric Dentistry
  • Fairfield, CT
  • NPI 1760741318
  NPD Authorized official

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638576000000",
    "number": "1871251058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WHEELERS FARMS RD UNIT 102",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611803",
            "telephone_number": "617-372-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 BLACK ROCK TPKE # S1",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252418",
            "telephone_number": "203-763-4200",
            "fax_number": "203-763-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ARK PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-372-2532",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Slater, LPC
• Sleep Apnea Center of Connecticut LLC (The Sleep Apnea Center of Connecticut LLC)
• Sleep Healthcare of CT LLC
• Sleepwell Doctor
• Peter Alan Small, M.D.
• Kashala Smith-Tavaris, MS CCC-SLP
• Elizabeth Corr Anderson Smith, M.D.
• Emily Smith
• Jo Anne Nancy Smith, LCSW
• Julia G Smith, LCSW

• Pediatric Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.