Small Smiles of Toledo, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMALL SMILES OF TOLEDO, LLC

Practice address

1520 Broadway St
Toledo, OH 43609-2855

Phone

(419) 255-9000

NPI assigned

May 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Trudy Williams

Title

Director, Licensing & Credentialing

Phone

(615) 750-0342

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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

• Ruby Estelle Fifer, DDS

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1467401190
  NPD (past)
• Angela Marie Gum

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1982653184
  NPD (past)
• Olivia Hunter Croom, DDS

  • Dentist
  • Toledo, OH
  • NPI 1407927304
  NPD (past)
• Mary Ann Nehls, DDS

  • General Practice Dentistry
  • Toledo, OH
  • NPI 1841360435
  NPD (past)
• Swapna P Kakarla

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1063461267
  NPD (past)

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1871542019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROADWAY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436092855",
            "telephone_number": "419-255-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES OF TOLEDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT ADVANTAGE",
            "identifier": "06023",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Slusky, MD
• SM Wings LLC
• SM Wings LLC
• Kathryn Smagur, PH.D.
• Sleiman Khalil Smaili, MD
• Tennielle Small-Rodgers
• Jeffrey Antoine Small
• Jesse Small
• John M. Small, L.I.S.W.
• Angela Marie Smalley

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.