Smiles for Life Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

052402-1 Issued in NY

Legal business name

SMILES FOR LIFE ORTHODONTICS PLLC

Practice address

4 Metrotech Ctr
Brooklyn, NY 11201-3815

Phone

(718) 403-0444

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Baharak Fooladi, DDS

Title

President

Phone

(718) 403-0444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1891021101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 METROTECH CTR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013815",
            "telephone_number": "718-403-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 METROTECH CTR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013815",
            "telephone_number": "718-403-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR LIFE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FOOLADI",
        "authorized_official_first_name": "BAHARAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-403-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "052402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.