Provider Demographics
NPI:1619294808
Name:SMILEWORKS DENTAL P.C.
Entity Type:Organization
Organization Name:SMILEWORKS DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-389-1120
Mailing Address - Street 1:150 JAVA ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-1844
Mailing Address - Country:US
Mailing Address - Phone:718-389-1120
Mailing Address - Fax:
Practice Address - Street 1:150 JAVA ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1844
Practice Address - Country:US
Practice Address - Phone:718-389-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental