Organization Active NPI

Smiles by Samantha

  • General Practice Dentistry
  • Lebanon, TN
National Provider Identifier
1942850466
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES BY SAMANTHA
Practice address
727 W Main St
Lebanon, TN 37087-3406
Phone
(615) 444-7180
Fax
(615) 444-7189
NPI assigned
Sep 17, 2019
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Paige Zajac
Title
Office Manager
Phone
(615) 444-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

727 W Main St
Lebanon, TN 37087-3406

Mailing address

727 W Main St
Lebanon, TN 37087-3406
Phone (615) 444-7180

National Provider Directory

National Provider Directory

Locations

727 W Main St
Lebanon, TN 37087
Phone (615) 444-7180

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1942850466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873406",
            "telephone_number": "615-444-7180",
            "fax_number": "615-444-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873406",
            "telephone_number": "615-444-7180",
            "fax_number": "615-444-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY SAMANTHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "ZAJAC",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-444-7180"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.