Smile Design Boston

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1856740 Issued in MA

Legal business name

SMILE DESIGN BOSTON

Practice address

21 Custom House St Ste 110
Boston, MA 02110-3525

Phone

(617) 840-0627

NPI assigned

May 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andre Hashem, DMD

Title

Owner

Phone

(617) 840-0627

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smile Design Boston Doing business as

Locations

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525564800000",
    "number": "1992294979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WAVERLY ST APT 260",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351245",
            "telephone_number": "617-840-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CUSTOM HOUSE ST STE 110",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103525",
            "telephone_number": "617-840-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-06",
        "last_updated": "2018-05-06",
        "status": "A",
        "authorized_official_last_name": "HASHEM",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-840-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1856740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PREMIER",
            "identifier": "1487727301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD DENTAL",
            "identifier": "1487727301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Boston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Ann Smethurst, PA-C
• Olivia C Smibert, MBBS
• Monica Smiddy, M.D.
• Morgan Eleanor Smigielski
• Amanda Lee Smigliani, DPT
• Smile Design Innovations
• Smilebar
• Smiles Sonrisas LLC
• Johnothan Nathaniel Smileye Jr., MD
• Catherine Smilow

• Periodontics in Boston, MA
• Providers in Boston, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2018; 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.