Active NPI
Downeast Smile Company LLC
- General Practice Dentistry
- Cartersville, GA
National Provider Identifier
1972232080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DOWNEAST SMILE COMPANY LLC
- Practice address
- 791 Joe Frank Harris Pkwy SE Ste B
Cartersville, GA 30120-2430 - Phone
- (470) 274-2828
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olivia Merandi, DDS
- Title
- Owner
- Phone
- (470) 274-2828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
791 Joe Frank Harris Pkwy SE Ste B
Cartersville, GA 30120-2430
Mailing address
791 Joe Frank Harris Pkwy SE Ste B
Cartersville, GA 30120-2430
Phone (470) 274-2828
National Provider Directory
National Provider Directory- Tax ID family
- Downeast Smile Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Cartersville, GA
- NPI 1104559921
Practitioners & affiliated clinicians
Practitioners 1
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": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1972232080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 JOE FRANK HARRIS PKWY SE STE B",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202430",
"telephone_number": "470-274-2828",
"fax_number": "470-274-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 JOE FRANK HARRIS PKWY SE STE B",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202430",
"telephone_number": "470-274-2828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNEAST SMILE COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "MERANDI",
"authorized_official_first_name": "OLIVIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-274-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.