Provider Demographics
NPI:1689062762
Name:PINKY SMILES, LLC
Entity Type:Organization
Organization Name:PINKY SMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DR. JOYTILAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJUMDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-485-7342
Mailing Address - Street 1:2568 KNIGHTS RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3407
Mailing Address - Country:US
Mailing Address - Phone:732-485-7342
Mailing Address - Fax:
Practice Address - Street 1:2568 KNIGHTS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3407
Practice Address - Country:US
Practice Address - Phone:732-485-7342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-25
Last Update Date:2014-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS036304OtherSTATE LICENSE