Smith Family Dental Assoc

Primary specialty

DentistTaxonomy code 122300000X

License

DEN01418 Issued in RI

Legal business name

SMITH FAMILY DENTAL ASSOC

Practice address

2780 Pawtucket Avenue
East Providence, RI 02914

Phone

(401) 434-7471

Fax

(401) 431-0591

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Smith Goncalves, DMD

Title

President

Phone

(401) 434-7471

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Smith Family Dental Assoc2 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.

• Smith Family Dental Assoc

  • General Practice Dentistry
  • East Providence, RI
  • NPI 1013080597
  NPD tax ID

Practitioners 2

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

• Robert N Smith, DMD

  • Dentist
  • East Providence, RI
  • NPI 1144429341
  NPD (past)
• Nicole Lynn Steckler, DMD

  • Dentist
  • East Providence, RI
  • NPI 1164534392
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1972702173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 PAWTUCKET AVENUE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-434-7471",
            "fax_number": "401-431-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 PAWTUCKET AVENUE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-434-7471",
            "fax_number": "401-431-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY DENTAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-434-7471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN01418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS30181",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Skierkowski-Foster, PH.D.
• Valerie Smalley, PT
• Karen R. Smigel, MD
• Harrison Smiley, O.D.
• Smith Family Dental Assoc
• April N Smith
• Robert N Smith, DMD
• Katherine Snape, NP
• Christopher Song, M.D.
• Faye Sotirakis

• Dentist in East Providence, RI
• Providers in East Providence, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.