Planet Smile Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

044619 Issued in NY

Legal business name

PLANET SMILE DENTAL, P.C.

Practice address

10 Fiske PL
Suite 501
Mount Vernon, NY 10550-3205

Phone

(914) 668-7500

Fax

(914) 668-7007

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Heitzler, DDS

Title

Director

Phone

(914) 668-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1992948608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FISKE PLACE",
            "address_2": "SUITE 501",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-668-7500",
            "fax_number": "914-668-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "SUITE 501",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-668-7500",
            "fax_number": "914-668-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET SMILE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "HEITZLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-668-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "044619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.