Provider Demographics
NPI:1093451262
Name:LEARN TO SMILE PLLC
Entity Type:Organization
Organization Name:LEARN TO SMILE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLURI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-665-9455
Mailing Address - Street 1:486A MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3841
Mailing Address - Country:US
Mailing Address - Phone:781-665-9455
Mailing Address - Fax:781-712-0089
Practice Address - Street 1:486A MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3841
Practice Address - Country:US
Practice Address - Phone:781-665-9455
Practice Address - Fax:781-712-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental