Provider Demographics
NPI:1598473266
Name:V SMILE LLC
Entity Type:Organization
Organization Name:V SMILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VATSALA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAJOO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS, BDS
Authorized Official - Phone:217-220-3716
Mailing Address - Street 1:1455 OLD ALABAMA RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1455 OLD ALABAMA RD STE 120
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2164
Practice Address - Country:US
Practice Address - Phone:770-587-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental