Provider Demographics
NPI:1821698788
Name:ALL ABOUT SMILES PLLC
Entity Type:Organization
Organization Name:ALL ABOUT SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RINI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAVISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-920-1917
Mailing Address - Street 1:1924 ANGEIN LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1059
Mailing Address - Country:US
Mailing Address - Phone:201-920-1917
Mailing Address - Fax:
Practice Address - Street 1:6420 N MACARTHUR BLVD STE 120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2838
Practice Address - Country:US
Practice Address - Phone:972-255-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental