Provider Demographics
NPI:1295011195
Name:DENTAL SMILES UNLIMITED, PC
Entity Type:Organization
Organization Name:DENTAL SMILES UNLIMITED, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-708-8144
Mailing Address - Street 1:2100 BARTOW AVE
Mailing Address - Street 2:SUITE 218B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4614
Mailing Address - Country:US
Mailing Address - Phone:718-708-8144
Mailing Address - Fax:
Practice Address - Street 1:2100 BARTOW AVE
Practice Address - Street 2:SUITE 218B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4614
Practice Address - Country:US
Practice Address - Phone:718-708-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05261261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1184717597OtherINDIVIDUAL NPI