Provider Demographics
NPI:1851969653
Name:HAPPY SMILES AT COLUMBIA PLLC
Entity Type:Organization
Organization Name:HAPPY SMILES AT COLUMBIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QILIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-684-4666
Mailing Address - Street 1:543 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1225
Mailing Address - Country:US
Mailing Address - Phone:717-684-4666
Mailing Address - Fax:717-684-2491
Practice Address - Street 1:543 LOCUST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1225
Practice Address - Country:US
Practice Address - Phone:717-684-4666
Practice Address - Fax:717-684-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty