Smiling Faces of Baton Rouge LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILING FACES OF BATON ROUGE LLC

Practice address

9321 Burbank Dr
Suite 9323
Baton Rouge, LA 70820-8605

Phone

(504) 621-7412

NPI assigned

Aug 28, 2013

Last updated

Aug 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Manuel Crear, DDS

Title

Dentist/Owner

Phone

(504) 621-7412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1982038782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 BURBANK DR",
            "address_2": "SUITE 9323",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208605",
            "telephone_number": "504-621-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 BURBANK DR",
            "address_2": "SUITE 9323",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708208605",
            "telephone_number": "504-621-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING FACES OF BATON ROUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "CREAR",
        "authorized_official_first_name": "DR. TRACY",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "504-621-7412",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.