Provider Demographics
NPI:1629844626
Name:AUSTRIA RADIANT SMILE DENTISTRY, PLLC
Entity Type:Organization
Organization Name:AUSTRIA RADIANT SMILE DENTISTRY, PLLC
Other - Org Name:RADIANT DENTISTRY OF WOBURN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTRIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-761-9501
Mailing Address - Street 1:99 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2855
Mailing Address - Country:US
Mailing Address - Phone:978-761-9501
Mailing Address - Fax:
Practice Address - Street 1:186 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-7708
Practice Address - Country:US
Practice Address - Phone:781-933-8290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental