Provider Demographics
NPI:1689321093
Name:RADHIKASMILES PLLC
Entity Type:Organization
Organization Name:RADHIKASMILES PLLC
Other - Org Name:CHARM DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RADHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-214-5137
Mailing Address - Street 1:14707 HIGHWAY 59 N STE B
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-3206
Mailing Address - Country:US
Mailing Address - Phone:281-973-4767
Mailing Address - Fax:
Practice Address - Street 1:14707 HIGHWAY 59 N STE B
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3206
Practice Address - Country:US
Practice Address - Phone:281-242-2221
Practice Address - Fax:281-242-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-05
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty