| Smile By Design | |
|
105 South Dr Suite 140 Mountain View CA 94040-4311 | |
| (650) 938-1868 | |
| (650) 938-1968 |
| Full Name | Smile By Design |
|---|---|
| Speciality | Dentist |
| Location | 105 South Dr, Mountain View, California |
| Authorized Official Name and Position | Dong Shen (PRESIDENT) |
| Authorized Official Contact | 6509381868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile By Design 105 South Dr Suite 140 Mountain View CA 94040-4311 Ph: (650) 938-1868 | Smile By Design 105 South Dr Suite 140 Mountain View CA 94040-4311 Ph: (650) 938-1868 |
| NPI Number | 1912343831 |
|---|---|
| Provider Enumeration Date | 05/18/2013 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 1153561162 |
|---|---|
| Medicare Enrollment ID | O20130715000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912343831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Dong Shen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538265715 PECOS PAC ID: 2062652076 Enrollment ID: I20130715000444 |
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