Smile Avenue Family and Cosmetic Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE AVENUE FAMILY AND COSMETIC DENTISTRY

Doing business as

Smile Avenue Family & Cosmetic Dentistry

Practice address

519 W Chicago St
Coldwater, MI 49036-1892

Phone

(517) 279-7900

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Misty Juskusky

Title

Manager

Phone

(615) 878-1595

Specialties & licenses 1

Addresses

Other names 1

• Smile Avenue Family & Cosmetic Dentistry Doing business as

Practitioners 1

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.

• Amanda Lynn Denomme-Stough, DDS

  • General Practice Dentistry
  • Coldwater, MI
  • NPI 1447331236
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1992414981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361892",
            "telephone_number": "517-279-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361892",
            "telephone_number": "517-279-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AVENUE FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "JUSKUSKY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-878-1595"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Avenue Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Raymond Sinclair, CRNA
• Jessica Singer, LMSW
• Stacey Skaggs, BT
• Trista Marie Sleziak
• Slusarski Chiropractic PLLC
• Smith Family Eye Care PLLC (Becker Eye Care)
• Amanda Stephenie Smith, PSY.D.
• Kristy Smith
• Shayden Sophia Smith
• Kyana Mae Smolen

• General Practice Dentistry in Coldwater, MI
• Providers in Coldwater, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.