HS Smiles,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10318 Issued in CT

Legal business name

HS SMILES,LLC

Doing business as

Primedentalcare

Practice address

2 Long Ridge Rd
West Redding, CT 06896-1111

Phone

(203) 664-1994

NPI assigned

Sep 1, 2017

Last updated

Sep 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thulasiswarna Muppuru, DDS

Title

Member Manager

Phone

(203) 664-1994

Specialties & licenses 2

Addresses

Other names 1

• Primedentalcare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thulasiswarnalatha Muppuru, DDS

  • General Practice Dentistry
  • Dacula, GA
  • NPI 1376856971
  NPD

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1902324650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LONG RIDGE RD",
            "city": "WEST REDDING",
            "state": "CT",
            "postal_code": "068961111",
            "telephone_number": "203-664-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONG RIDGE RD",
            "city": "WEST REDDING",
            "state": "CT",
            "postal_code": "068961111",
            "telephone_number": "203-664-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS SMILES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "MUPPURU",
        "authorized_official_first_name": "THULASISWARNA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "203-664-1994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primedentalcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riye Aoki, D.O.
• Myron Lawrence Glucksman, MD
• Perry Michael Perretz, D.O.
• Barbara Templeton, LMFT

• General Practice Dentistry in West Redding, CT
• Providers in West Redding, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.