Provider Demographics
NPI:1215565171
Name:ADVANCED DENTAL SMILE P.C
Entity Type:Organization
Organization Name:ADVANCED DENTAL SMILE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:BASAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-847-8538
Mailing Address - Street 1:2224 ROUTE 37 E
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6000
Mailing Address - Country:US
Mailing Address - Phone:732-608-6478
Mailing Address - Fax:848-251-2400
Practice Address - Street 1:2224 ROUTE 37 E
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6000
Practice Address - Country:US
Practice Address - Phone:732-608-6478
Practice Address - Fax:848-251-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental