NPIMap

Organization Active NPI

Forever Smiles, PLLC

  • Dental Clinic/Center
  • Arlington, MN
National Provider Identifier
1952898660
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D12456 Issued in MN
Legal business name
FOREVER SMILES, PLLC
Practice address
503 W Main St
Arlington, MN 55307-2133
Phone
(507) 964-2748
Fax
(507) 964-2707
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Jessica Bauer
Title
Office Manager
Phone
(320) 864-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D12456 MN Primary

Addresses

Primary practice location

503 W Main St
Arlington, MN 55307-2133

Mailing address

1015 Greeley Ave N
Glencoe, MN 55336-2129
Phone (320) 864-3129

National Provider Directory

National Provider Directory
Tax ID family
Forever Smiles PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 Greeley Ave N
Glencoe, MN 55336
Phone (320) 864-3129

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1952898660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GREELEY AVE N",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362129",
            "telephone_number": "320-864-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W MAIN ST",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072133",
            "telephone_number": "507-964-2748",
            "fax_number": "507-964-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-864-3129"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.