Provider Demographics
NPI:1629948328
Name:SMILEOLOGIE PLLC
Entity type:Organization
Organization Name:SMILEOLOGIE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDH, IPDH
Authorized Official - Prefix:
Authorized Official - First Name:RAGHDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-876-8358
Mailing Address - Street 1:144 US ROUTE 1 STE 4
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7219
Mailing Address - Country:US
Mailing Address - Phone:207-876-8358
Mailing Address - Fax:
Practice Address - Street 1:144 US ROUTE 1 STE 4
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7219
Practice Address - Country:US
Practice Address - Phone:207-876-8358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-07
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental