1871251058 NPI number — SMILE ARK PEDIATRIC DENTISTRY LLC

Table of content: (NPI 1871251058)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871251058 NPI number — SMILE ARK PEDIATRIC DENTISTRY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMILE ARK PEDIATRIC DENTISTRY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871251058
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
354 WHEELERS FARMS RD UNIT 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06461-1803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-372-2532
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2480 BLACK ROCK TPKE # S1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06825-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-763-4200
Provider Business Practice Location Address Fax Number:
203-763-4232
Provider Enumeration Date:
12/04/2021

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
EUNICE
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
617-372-2532

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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