| Smile Dental Office, P.c. | |
|
1152 Clinton Avenue Irvington NJ 07111 | |
| (973) 372-5640 | |
| (973) 371-7697 |
| Full Name | Smile Dental Office, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1152 Clinton Avenue, Irvington, New Jersey |
| Authorized Official Name and Position | Leslie Torres (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9733725640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Office, P.c. 1152 Clinton Avenue Irvington NJ 07111 Ph: (973) 372-5640 | Smile Dental Office, P.c. 1152 Clinton Avenue Irvington NJ 07111 Ph: (973) 372-5640 |
| NPI Number | 1093910143 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093910143 | NPI | - | NPPES |
| 9025600 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19126 (New Jersey) | Primary |
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