ELIZABETH SMILINE DENTAL, LLC (NPI# 1831498328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831498328 |
| Entity Type | Organization |
| Organization Name | ELIZABETH SMILINE DENTAL, LLC |
| Practice Address |
1206 E Grand St Elizabeth NJ 07201-2309 |
| Practice Telephone | 9083514860 |
| Practice Fax Number | 9083514865 |
| Mailing Telephone | 9083514860 |
| Mailing Fax Number | 9083514865 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | DR. USHA POLAVARAPU (DENTIST) |
| Authorized Official Telephone | 9083514860 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI01912604 | NJ | Dental Providers |
| Street Address |
1206 E GRAND ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07201-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1588226161 | Latika Patel | Student in an Organized Health Care Education/Training Program | 224 Williamson Street, Elizabeth, NJ 07201 | 2019-07-03 |
| 1598221830 | Trucare Pharmacy Inc. | Pharmacy | 838 E. Grand St, Elizabeth, NJ 07201 | 2019-02-12 |
| 1346762911 | Ronel Sajouste | Non-emergency Medical Transport (VAN) | 476 Adams Avenue, Elizabeth, NJ 07201 | 2017-07-14 |
| 1134649189 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16-22 Jaques St, 3, Elizabeth, NJ 07201 | 2017-06-21 |
| 1881128932 | Rosemarie Nielson | Internal Medicine | 557 Adams Ave, 1f, Elizabeth, NJ 07201 | 2017-04-15 |
| 1467995910 | Lourdes E. Lherisson | Optometrist | 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 | 2016-11-30 |
| 1629442462 | Ong Care | Home Health | 1139 E Jersey St Ste 502, Elizabeth, NJ 07201 | 2015-11-17 |
| 1336486547 | Puerto Rican Org for Community Educational & Economic Development | Community/Behavioral Health | 1122 E. Grand St., Elizabeth, NJ 07201 | 2013-01-08 |
| Find all providers in zip 07201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1760008486 | Jose Antonio Alfonso | Dentist | 775 N Broad St Apt A504, Elizabeth, NJ 07208-2417 | 2020-06-18 |
| 1952824310 | Family Dental Practice of New Jersey, LLC | Dentist | 560 Newark Ave Fl 2, Elizabeth, NJ 07208-3307 | 2017-07-18 |
| 1659819605 | Goodman Young Pllc | Dentist | 796 E. Kiowa Ave., Suite H12, Elizabeth, CO 80107 | 2017-02-09 |
| 1811263171 | Cassandra Kahn | Dentist | 1124 E Jersey St, Elizabeth, NJ 07201-2406 | 2012-03-30 |
| 1629229513 | Jina Kandas | Dentist | 14 Winfield Scott Plz, Elizabeth, NJ 07201-2443 | 2008-10-09 |
| 1588825715 | Rafael Mikhailov | Dentist | 65 Jefferson Avenue, Elizabeth, NJ 07201 | 2008-06-20 |
| 1932328119 | Joseph Anthony Galletta | Dentist | 39 Jefferson Ave, Elizabeth, NJ 07201 | 2007-04-25 |
| 1417010984 | Gerald E Pepe | Dentist | 125 Rock Run Road, Elizabeth, PA 15037 | 2006-12-18 |
| 1700967585 | Daniel G Hill Dds PC | Dentist | 210 S Elizabeth Street, Unit E, Elizabeth, CO 80107 | 2006-10-18 |
| Find all providers in ELIZABETH | ||||
Please comment or provide details below to improve the information on ELIZABETH SMILINE DENTAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.