MY SMILE EXPERIENCE P.C. (NPI# 1811537665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811537665 |
| Entity Type | Organization |
| Organization Name | MY SMILE EXPERIENCE P.C. |
| Practice Address |
99 Rockingham Park Blvd # W111b Salem NH 03079-2900 |
| Practice Telephone | 6034850024 |
| Mailing Telephone | 6034850024 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | DR. JUDLEY ALPHONSE (PRESIDENT) |
| Authorized Official Telephone | 6034850024 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| My Smile Experience | Doing Business As Name - Organization |
| Street Address |
99 ROCKINGHAM PARK BLVD # W111B |
| City | SALEM |
| State | NH |
| Zip Code | 03079-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1861047532 | Kathy Trinh | Dentist | 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 | 2019-08-08 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1730684937 | Eva Chiu | Dentist | 142a Canal St, Salem, MA 01970-4650 | 2018-03-28 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1942652557 | Karin Arsenault | Dentist | 32 Stiles Rd Ste 208, Salem, NH 03079-2894 | 2016-07-07 |
| 1811391527 | Hala Mahmod | Dentist | 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 | 2014-10-09 |
| 1871907139 | Pure Dental PC | Dentist | 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 | 2014-06-16 |
| 1669811071 | Stephanie Nicole Vlahos | Dentist | 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 | 2013-06-19 |
| 1568705168 | Alfred Joseph Sotera | Dentist | 12 Stiles Road, Suite 206, Salem, NH 03079-2881 | 2013-04-02 |
| 1598003261 | Luisa Snyder | Dentist | 1524 Commercial St. S.e., Salem, OR 97302 | 2013-01-30 |
| Find all providers in SALEM | ||||
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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.