Ultimate Smile Design LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN10353 Issued in FL

Legal business name

ULTIMATE SMILE DESIGN LLC

Practice address

730 Emerson Dr NE
Palm Bay, FL 32907-1430

Phone

(321) 984-7878

NPI assigned

Nov 29, 2016

Organization subpart

Yes

Parent organization

ULTIMATE SMILE DESIGNAs reported in NPPES

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

Authorized official

Name

Michele Miller

Title

Office Manager

Phone

(321) 984-7878

Specialties & licenses 2

Addresses

Part of

Ultimate Smile Design LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa A Yasonis, DMD

  • General Practice Dentistry
  • Palm Bay, FL
  • NPI 1962615716
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1932642634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EMERSON DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071430",
            "telephone_number": "321-984-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EMERSON DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071430",
            "telephone_number": "321-984-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SMILE DESIGN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ULTIMATE SMILE DESIGN",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-984-7878"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10353",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Tuozzo
• Michelle Renae Turner, MPT
• Valerie Kaye Turner, M.A., CCC-SLP
• Cynthia Tuten
• Maria Sikking Uhler, PHARMD
• Estefany Umanzor
• Robert Willard Underill Jr., D.M.D.
• United ABA LLC
• University Laboratory Solutions LLC
• Uplift Abilities Inc

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.