Active NPI
Freshest Smiles LLC
- Oral and Maxillofacial Surgery Clinic/Center
- New York, NY
National Provider Identifier
1992584718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- Legal business name
- FRESHEST SMILES LLC
- Practice address
- 436 Fort Washington Ave Apt 1B
New York, NY 10033-3533 - Phone
- (718) 294-3725
- NPI assigned
- Sep 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alejandro Williams, DDS
- Title
- Owner
- Phone
- (718) 294-3725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | Primary |
Addresses
Primary practice location
436 Fort Washington Ave Apt 1B
New York, NY 10033-3533
Mailing address
PO Box 1097
Bronx, NY 10453-1015
Phone (718) 294-3725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1992584718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1097",
"city": "BRONX",
"state": "NY",
"postal_code": "104531015",
"telephone_number": "718-294-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 FORT WASHINGTON AVE APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333533",
"telephone_number": "718-294-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESHEST SMILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-294-3725",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.