Polished - Melissa a Smith DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2004013254 Issued in MO

Legal business name

POLISHED - MELISSA A SMITH DDS PC

Practice address

14560 Manchester Rd
Ste 27
Ballwin, MO 63011-3933

Phone

(636) 394-4275

Fax

(636) 394-1188

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Melissa A Smith, DDS

Title

Owner/Dentist

Phone

(636) 667-9192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shu F Cheuk, DDS

  • General Practice Dentistry
  • Winchester, MO
  • NPI 1508948654
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1932647591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 MANCHESTER RD",
            "address_2": "STE 27",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113933",
            "telephone_number": "636-394-4275",
            "fax_number": "636-394-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 MANCHESTER RD",
            "address_2": "STE 27",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113933",
            "telephone_number": "636-394-4275",
            "fax_number": "636-394-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED - MELISSA A SMITH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "636-667-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004013254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Pickett
• Jerry M Pierson, PT
• Elizabeth Pitcher, OTR/L
• Plaza Orthodontics
• Nishant Poddar, MD
• Kevin Ferguson Postol, DDS
• Preferred Hospice of Missouri Northeast LLC
• Premier Healthcare STL LLC
• Daniel Thomas Price, RPH
• Kelly Price, PT, DPT, ATC

• General Practice Dentistry in Ballwin, MO
• Providers in Ballwin, MO by specialty
• General Practice Dentistry in Missouri

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