Smiles Ahead Childrens Dentistry, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02184300 Issued in NJ

Legal business name

SMILES AHEAD CHILDRENS DENTISTRY, PC

Practice address

77 Garland LN
Willingboro, NJ 08046-3011

Phone

(609) 880-0092

Fax

(609) 880-0091

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George Dierna, DDS

Title

Owner

Phone

(609) 880-0092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1922338029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "856-235-0020",
            "fax_number": "856-235-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GARLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463011",
            "telephone_number": "609-880-0092",
            "fax_number": "609-880-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES AHEAD CHILDRENS DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "DIERNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-880-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02184300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica V Simmons
• Jacqueline Simonetti, PA-C
• Simple Guidance
• Barbara J Skinner, RD
• Lori Sleeper, CRNA
• Briana Halena Smith, DOULA
• David W Smith Jr.
• Donald S Smith Jr., AM
• Rita Smith, BA PSYCHOLOGY
• Sandra L Snell

• Pediatric Dentistry in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.