Provider Demographics
NPI:1508423047
Name:SAHAYA SMILE LLC
Entity Type:Organization
Organization Name:SAHAYA SMILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITHANACHCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:973-448-8989
Mailing Address - Street 1:93 STATE ROUTE 183
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-2694
Mailing Address - Country:US
Mailing Address - Phone:973-448-8989
Mailing Address - Fax:
Practice Address - Street 1:93 STATE ROUTE 183
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-2694
Practice Address - Country:US
Practice Address - Phone:973-448-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty