Provider Demographics
NPI:1821456591
Name:SMILE CARE EXPERTS LLC
Entity Type:Organization
Organization Name:SMILE CARE EXPERTS LLC
Other - Org Name:WHITE ORCHID DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:219-836-9122
Mailing Address - Street 1:548 RIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1600
Mailing Address - Country:US
Mailing Address - Phone:219-836-9122
Mailing Address - Fax:219-836-9123
Practice Address - Street 1:548 RIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1600
Practice Address - Country:US
Practice Address - Phone:219-836-9122
Practice Address - Fax:219-836-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010293A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty