Smyrna Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

G10001233 Issued in DE

Legal business name

SMYRNA DENTAL CENTER

Practice address

200 S Dupont Blvd
Suite 103
Smyrna, DE 19977-1552

Phone

(302) 223-6194

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rama L Yerneni, D.M.D

Title

President

Phone

(302) 223-6194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1922259183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S DUPONT BLVD",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771552",
            "telephone_number": "302-223-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S DUPONT BLVD",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771552",
            "telephone_number": "302-223-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "YERNENI",
        "authorized_official_first_name": "RAMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-223-6194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.