Organization Active NPI

Smart Smiles Digital Lab LLC

  • Dental Laboratory Technician
  • Batavia, OH
National Provider Identifier
1992645063
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Laboratory TechnicianTaxonomy code 126900000X
Legal business name
SMART SMILES DIGITAL LAB LLC
Practice address
4053 Redpetal LN
Batavia, OH 45103-2860
Phone
(859) 412-6782
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Erdry Magalis Torres
Title
Owner
Phone
(859) 412-6782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 126900000X Primary

Addresses

Primary practice location

4053 Redpetal LN
Batavia, OH 45103-2860

Mailing address

4053 Redpetal LN
Batavia, OH 45103-2860
Phone (859) 412-6782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1992645063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 REDPETAL LN",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032860",
            "telephone_number": "859-412-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 REDPETAL LN",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032860",
            "telephone_number": "859-412-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SMILES DIGITAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ERDRY",
        "authorized_official_middle_name": "MAGALIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-412-6782"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.