Square Smiles, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SQUARE SMILES, PC

Practice address

25 Bryant Avenue
Milton, MA 02186

Phone

(617) 533-8058

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elexis Elon Joffre, DMD

Title

President

Phone

(617) 898-0220

Specialties & licenses 1

Addresses

Other names 1

• East Milton Orthodontics PC Former legal business name

Locations

Practitioners 1

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

• E Elon Joffre, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waltham, MA
  • NPI 1154566495
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1881200822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRYANT AVENUE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRYANT AVENUE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "02186",
            "telephone_number": "617-533-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "JOFFRE",
        "authorized_official_first_name": "ELEXIS",
        "authorized_official_middle_name": "ELON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-898-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Milton Orthodontics PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Milton, MA
• Providers in Milton, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.