Glamorous Smile Dental Spa LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLAMOROUS SMILE DENTAL SPA LLC

Practice address

420 Morris Ave
Springfield, NJ 07081-1156

Phone

(973) 912-9091

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Sally AlkamaryNPI 1154618387

Title

President

Phone

(973) 912-9091

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sally Ibrahim Alkamary, SALLY ALKAMARY DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1154618387
  NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1972075810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811156",
            "telephone_number": "973-912-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811156",
            "telephone_number": "973-912-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOROUS SMILE DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "ALKAMARY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-912-9091"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisabeth Weinstein Gertner, PH.D.
• April Gheller, CRNP
• Magda Ghoneim
• Myla Michelle Giles, PH.D., ACS, LPC
• Monica Gilles, RRT
• Angela Jack Glasnapp, M.D.
• Anne S. Goldfischer
• Marc Alan Goldsmith, DDS
• Linda Goldstein, M.ED.
• Maura Lynn Gomez, PH.D.

• General Practice Dentistry in Springfield, NJ
• Providers in Springfield, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.