Organization Active NPI

Sunny Smile Group I LLC

Doing business as Aspen Dental

  • General Practice Dentistry
  • North Smithfield, RI
National Provider Identifier
1982094579
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3243 Issued in RI
Legal business name
SUNNY SMILE GROUP I LLC
Doing business as
Aspen Dental
Practice address
18 Dowling Village Blvd
North Smithfield, RI 02896-8267
Phone
(401) 762-1919
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Dongho Kim, DMD
Title
Owner
Phone
(315) 454-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3243 RI Primary

Addresses

Primary practice location

18 Dowling Village Blvd
North Smithfield, RI 02896-8267

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

Other names 1

  • Aspen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18 Dowling Village Blvd
North Smithfield, RI 02896
Phone (313) 652-6318

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1982094579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DOWLING VILLAGE BLVD",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968267",
            "telephone_number": "401-762-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILE GROUP I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.