SURFSIDE SMILE COMPANY LLC
NPI 1679280630
Clinic/Center - Dental in Middletown, NJ

Q: What is Surfside Smile Company LLC's NPI number?

The NPI number for Surfside Smile Company LLC is 1679280630. It was assigned to this organization in the NPPES registry on October 31, 2022.

Q: What is Surfside Smile Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 31, 2022

1692 HIGHWAY 35, MIDDLETOWN, NJ 07748(757) 214-1091 Get Directions Write a Review

NPPES record last updated: January 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2023, Oct 31, 2022 (2 updates tracked since 2022).

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About Surfside Smile Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURFSIDE SMILE COMPANY LLC (NPI 1679280630) is a healthcare organization registered as a dental in Middletown, New Jersey and active in the NPI registry since October 2022. The organization lists Kristianne Macaraeg Kracke, Owner, as its authorized official.

NPPES Registry Identity

NPI1679280630

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSURFSIDE SMILE COMPANY LLC

Location Address1692 HIGHWAY 35Middletown, NJ 07748

Mailing Address2404 Cherry StManasquan, NJ 08736-1523

Phone(757) 214-1091

Organization SubpartNo

Authorized OfficialKristianne Macaraeg KrackeOwner · (757) 214-1091

Enumeration DateOctober 31, 2022

Last NPPES UpdateJanuary 28, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2023

✔ NPI 1679280630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1692 HIGHWAY 35, Middletown, NJ 07748

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surfside Smile Company LLC's NPI number?

The NPI number for Surfside Smile Company LLC is 1679280630. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Surfside Smile Company LLC located?

Surfside Smile Company LLC is located at 1692 Highway 35, Middletown, NJ 07748. The listed phone number is (757) 214-1091.

What is Surfside Smile Company LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Surfside Smile Company LLC was last updated on January 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.