Smiles by Design Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

40578 Issued in NY

Legal business name

SMILES BY DESIGN DENTAL PC

Practice address

1304 Buckley Rd
Suite 203
Syracuse, NY 13212-4311

Phone

(315) 474-1711

Fax

(315) 474-4818

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Susan B Dunn, DDS

Title

Dentist

Phone

(315) 474-1711

Specialties & licenses 2

Addresses

Other names 1

• Butternut Dental Care PC Former legal business name

Locations

Practitioners 2

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

• Roksolana Stets, DDS

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1326308362
  NPD (past)
• Robyn M Wenman, DDS

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1154611887
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1881729630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD",
            "address_2": "SUITE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124311",
            "telephone_number": "315-474-1711",
            "fax_number": "315-474-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD",
            "address_2": "SUITE 203",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124311",
            "telephone_number": "315-474-1711",
            "fax_number": "315-474-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY DESIGN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-474-1711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "40578",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butternut Dental Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christina Virginia Smart, R.D.H.
• Lawson Ryan Smart, M.D.
• Marybeth Smart, RN
• Tiffany Lynn Smart, RN
• Jacob Michael Smiedy, NP
• Katrina Elaina Smith Gretsky, AUD
• Pamela R Smith Lotito
• Alexandria Smith-Hannah, M.D.
• Amanda Nicole Smith
• Ann Marie Smith, LCSW

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.