Organization Active NPI

Heavenly Smiles, PA

  • Dental Hygienist
  • Hampden, ME
National Provider Identifier
1982294641
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
HEAVENLY SMILES, PA
Practice address
60-D Main Road North
Hampden, ME 04444-0444
Phone
(207) 991-2233
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Fleshia Marie Smith-Dow, IPDHNPI 1457941106
Title
Woner/Partner
Phone
(207) 991-2233

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

60-D Main Road North
Hampden, ME 04444-0444

Mailing address

60-D Main Road North
Hampden, ME 04444
Phone (207) 991-2233

National Provider Directory

National Provider Directory

Locations

60 Main Rd N
Ste D
Hampden, ME 04444
Phone (207) 478-2125

Practitioners & affiliated clinicians

Practitioners 2

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1982294641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60-D MAIN ROAD NORTH",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "04444",
            "telephone_number": "207-991-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60-D MAIN ROAD NORTH",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440444",
            "telephone_number": "207-991-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY SMILES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-DOW",
        "authorized_official_first_name": "FLESHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "WONER/PARTNER",
        "authorized_official_telephone_number": "207-991-2233",
        "authorized_official_credential": "IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.