GRACE DENTAL SMILES NPI 1275008138

NPI Information

NPI: 1275008138
Provider Name: GRACE DENTAL SMILES
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
102 ROUTE 109
WEST BABYLON, NY
ZIP 11704
Phone: (631) 619-0010
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GRACE DENTAL SMILES is a dental clinic center in West Babylon, NY. GRACE DENTAL SMILES NPI is 1275008138. The provider is registered as an organization entity type.

The provider's business location address is:

102 ROUTE 109
WEST BABYLON, NY
ZIP 11704-220
Phone: (631) 619-0010
Fax: (631) 983-4774

The provider's authorized official is Avinash Cherian .
The authorized official title is Owner and has the following contact phone number (631) 619-0010.

The enumeration date for this NPI number is 10/8/2018 and was last updated on 10/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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