BIG LITTLE SMILES PEDIATRIC DENTISTRY PLLC (NPI# 1174132880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174132880 |
| Entity Type | Organization |
| Organization Name | BIG LITTLE SMILES PEDIATRIC DENTISTRY PLLC |
| Practice Address |
95 Morgan St Apt 1a Stamford CT 06905-5411 |
| Mailing Address |
2315 Astoria Blvd Apt 5e Astoria NY 11102-4461 |
| Practice Telephone | 5166029500 |
| Mailing Telephone | 5166029500 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | DR. LIONEL NOEL VERA-CARABALLO (PEDIATRIC DENTIST - OFFICE MANAGER) |
| Authorized Official Telephone | 5166029500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Big Little Smiles Pediatric Dentistry PLLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BIG LITTLE SMILES PEDIATRIC DENTISTRY PLLC | 23-15 Astoria Blvd., Apt. 5e, Astoria, Ny 11102 |
| Street Address |
95 MORGAN ST APT 1A |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851312441 | Thomas Ray Getreuer | Dentist | 95 Morgan St Apt 1a, Stamford, CT 06905-5411 | 2006-07-21 |
| 1427661453 | Dr. Shportko Pllc | Dentist | 95 Morgan St Apt 1a, Stamford, CT 06905-5411 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548502065 | Yoo Jin Shin | Dentist | 90 Fairfield Ave Lowr Level, Stamford, CT 06902-5021 | 2013-03-22 |
| 1447548805 | Stamford Pediatric Dentistry, LLC | Dentist | 4 Long Ridge Rd, Stamford, CT 06905-3802 | 2011-07-19 |
| 1720375041 | Gabrielle Ilyse Sykoff | Dentist | 1500 Summer Street, 2nd Floor, Stamford, CT 06905-5132 | 2011-07-07 |
| 1316268204 | Meenakshi Madhu I | Dentist | 35 W Broad St, Unit 207, Stamford, CT 06902-3766 | 2010-06-15 |
| 1750422747 | Arthur Bernard Egol | Dentist | 1 Strawberry Hill Ct, 7l, Stamford, CT 06902-2548 | 2007-02-11 |
| 1588748511 | Helene Strazza | Dentist | 127 Greyrock Place, Stamford, CT 06901 | 2006-10-25 |
| 1801358825 | Ariel Elyse Ginsberg | Dentist | 1500 Summer St, Stamford, CT 06905-5132 | 2019-04-01 |
| 1760869457 | Mariam Khan | Dentist | 127 Greyrock Pl, Stamford, CT 06901-3100 | 2015-05-01 |
| 1285980243 | You-na Kim | Dentist | 127 Greyrock Pl, Stamford, CT 06901-3100 | 2012-07-27 |
| 1740547264 | Cha Hur | Dentist | 1500 Summer St, Dental Care Kids, Stamford, CT 06905-5132 | 2012-04-22 |
| Find all providers in STAMFORD | ||||
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| 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.