Elizabeth Smiline Dental, LLC
Dentist in Elizabeth, New Jersey
1831498328- Practice location
- 1206 E Grand St, Elizabeth, NJ 07201-2309
- Phone
- 908-351-4860
- Fax
- 908-351-4865
- Last updated
- March 23, 2011
Elizabeth Smiline Dental, LLC is a healthcare organization based in Elizabeth, NJ. Elizabeth Smiline Dental, LLC practices in Elizabeth, NJ. The NPI Number for Elizabeth Smiline Dental, LLC is 1831498328 and holds a License No. 22di01912604 (NJ). The current practice location address for Elizabeth Smiline Dental, LLC is 1206 E Grand St, Elizabeth, NJ 07201-2309 and can be reached out via phone at 908-351-4860 and via fax at 908-351-4865.
Provider Profile Details
- NPI Number
- 1831498328
- Provider Name
- Elizabeth Smiline Dental, LLC
- Provider Entity Type
- Organization
- Address
- 1206 E Grand St, Elizabeth, NJ 07201-2309
- Phone Number
- 908-351-4860
- Fax Number
- 908-351-4865
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Usha Polavarapu, DDS · Dentist · 908-351-4860
- Provider Enumeration Date
- March 23, 2011
- Last Update Date
- March 23, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1206 E Grand St
Elizabeth, NJ 07201-2309 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07201-2309
- Phone Number
- 908-351-4860
- Fax Number
- 908-351-4865
Provider Business Mailing Address Details
- Address
- 1206 E Grand St
Elizabeth, NJ 07201-2309 - City
- Elizabeth
- State
- NJ
- Zip
- 07201-2309
- Phone Number
- 908-351-4860
- Fax Number
- 908-351-4865
License Information
- License Number
- 22di01912604
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Elizabeth, NJ
View all Dentists in Elizabeth →Frequently Asked Questions
What is the NPI number of Elizabeth Smiline Dental, LLC?
The NPI number of Elizabeth Smiline Dental, LLC is 1831498328. It was assigned on March 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Elizabeth Smiline Dental, LLC?
Elizabeth Smiline Dental, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22di01912604.
Where does Elizabeth Smiline Dental, LLC practice?
The practice location is 1206 E Grand St, Elizabeth, NJ 07201-2309. The office can be reached at 908-351-4860 (phone) or 908-351-4865 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831498328 directly on the NPPES registry website.