Provider Demographics
NPI:1477201986
Name:SMILE STARTERS PEDIATRIC DENTISTRY OF FLORAL PARK
Entity Type:Organization
Organization Name:SMILE STARTERS PEDIATRIC DENTISTRY OF FLORAL PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAMIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-287-0959
Mailing Address - Street 1:15 VERBENA AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2793
Mailing Address - Country:US
Mailing Address - Phone:516-784-4100
Mailing Address - Fax:516-784-4161
Practice Address - Street 1:15 VERBENA AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2793
Practice Address - Country:US
Practice Address - Phone:516-784-4100
Practice Address - Fax:516-784-4161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty