Provider Demographics
NPI:1033722137
Name:URBAN SMILES DENTAL P.A
Entity Type:Organization
Organization Name:URBAN SMILES DENTAL P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAPIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNDRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-533-9929
Mailing Address - Street 1:21 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1203
Mailing Address - Country:US
Mailing Address - Phone:917-432-9555
Mailing Address - Fax:
Practice Address - Street 1:223 PARK AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1040
Practice Address - Country:US
Practice Address - Phone:908-533-9929
Practice Address - Fax:908-533-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental