Provider Demographics
NPI:1578881850
Name:HAPPY SMILES FAMILY DENTISTRY
Entity Type:Organization
Organization Name:HAPPY SMILES FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARISTODEMO-PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-790-8790
Mailing Address - Street 1:435 S ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2975
Mailing Address - Country:US
Mailing Address - Phone:847-524-0488
Mailing Address - Fax:847-524-1579
Practice Address - Street 1:435 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2975
Practice Address - Country:US
Practice Address - Phone:847-524-0488
Practice Address - Fax:847-524-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty