Provider Demographics
NPI:1578725099
Name:NY SMILES DENTAL, PC
Entity Type:Organization
Organization Name:NY SMILES DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATIVIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:1212-304-2229
Mailing Address - Street 1:4501 BROADWAY APT 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2463
Mailing Address - Country:US
Mailing Address - Phone:212-304-2229
Mailing Address - Fax:212-304-1847
Practice Address - Street 1:4501 BROADWAY APT 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2463
Practice Address - Country:US
Practice Address - Phone:212-304-2229
Practice Address - Fax:212-304-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty