| Perfect Smile Braces | |
|
555 E Fordham Rd Bronx NY 10458-5046 | |
| (347) 801-8888 | |
| (347) 801-8888 |
| Full Name | Perfect Smile Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 555 E Fordham Rd, Bronx, New York |
| Authorized Official Name and Position | Emil Bailey (PRESIDENT/OWNER) |
| Authorized Official Contact | 3478018888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Smile Braces 555 E Fordham Rd Bronx NY 10458-5046 Ph: (347) 801-8888 | Perfect Smile Braces 555 E Fordham Rd Bronx NY 10458-5046 Ph: (347) 801-8888 |
| NPI Number | 1902157910 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902157910 | NPI | - | NPPES |
| 1295272441 | Other | IL | NISHI GARG, DMD TYPE 1 NPI ASSOCIATE |
| 1790041523 | Other | EMIL BAILEY, DMD TYPE 1 NPI | |
| 1578957270 | Other | ZACHARY HIRSCH, DDS TYPE 1 NPI | |
| 05333019 | Medicaid | NY | |
| 1235567173 | Other | NY | JEONG RAE CHO, DDS TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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