OrganizationActive
Premium Smiles LLC
NPI 1811776636 · Oral and Maxillofacial Surgery Clinic/Center · Elmont, NY
Provider details
- NPI number
- 1811776636
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alejandro Williams, Owner(718) 294-3725
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1810 Harriet St
Elmont, NY 11003-4326
Phone: (718) 294-3725
Street-level locationGet directions
Mailing address
Po Box 1097
Bronx, NY 10453-1015
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2023-09-22
- Certified
- 2023-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.