Smile Dental Office, P.C.

LBN: Smile Dental Office, P.C.
Smile Dental Office, P.C. is an health care organization with primary practice located at 1152 Clinton Avenue , Irvington NJ 07111. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Smile Dental Office, P.C. can be contacted via phone (973) 372-5640, or through Torres, Leslie via phone (973) 372-5640.

Contact Information

Primary practice address
1152 Clinton Avenue Irvington NJ 07111
Phone: (973) 372-5640
Fax: (973) 371-7697
Website:
Map and Directions
Authorized official contact:
Name: Torres, Leslie
Phone: (973) 372-5640

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19126 New Jersey

Profile Details

NPI number 1093910143
LBN Legal business name Smile Dental Office, P.C.
DBA Doing business as
Authorized official Torres, Leslie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated Feb 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093910143 NPPES
New Jersey MEDICAID 9025600

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