Organization Active NPI

Smile Center PLLC

  • Dentist
  • Campbellsville, KY
National Provider Identifier
1891931606
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5914 Issued in KY
Legal business name
SMILE CENTER PLLC
Practice address
1485 Old Lebanon Rd
Campbellsville, KY 42718-3356
Phone
(270) 789-2155
Fax
(270) 789-0693
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Marlene K Richardson, DMD
Title
Dentist
Phone
(270) 789-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5914 KY Primary

Addresses

Primary practice location

1485 Old Lebanon Rd
Campbellsville, KY 42718-3356

Mailing address

1485 Old Lebanon Rd
Campbellsville, KY 42718-3356
Phone (270) 789-2155

National Provider Directory

National Provider Directory

Locations

1485 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 789-2155

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1891931606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183356",
            "telephone_number": "270-789-2155",
            "fax_number": "270-789-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183356",
            "telephone_number": "270-789-2155",
            "fax_number": "270-789-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-789-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.