Provider Demographics
NPI:1578292199
Name:SMILES HOPE LLC
Entity Type:Organization
Organization Name:SMILES HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-792-7046
Mailing Address - Street 1:355 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7515
Mailing Address - Country:US
Mailing Address - Phone:985-792-7046
Mailing Address - Fax:888-865-8909
Practice Address - Street 1:355 LAKEVIEW CT
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7515
Practice Address - Country:US
Practice Address - Phone:985-792-7046
Practice Address - Fax:888-865-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental