Provider Demographics
NPI:1154072452
Name:ALL SMILES DENTAL LLC
Entity Type:Organization
Organization Name:ALL SMILES DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JULES
Authorized Official - Last Name:GARRAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-284-5957
Mailing Address - Street 1:2 WELLSPRING RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9401
Mailing Address - Country:US
Mailing Address - Phone:207-284-5957
Mailing Address - Fax:207-283-1140
Practice Address - Street 1:2 WELLSPRING RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9401
Practice Address - Country:US
Practice Address - Phone:207-284-5957
Practice Address - Fax:207-283-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty