Provider Demographics
NPI:1861836157
Name:SMILES TO YOU, PLLC
Entity Type:Organization
Organization Name:SMILES TO YOU, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:FITCHETT
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:757-927-2238
Mailing Address - Street 1:591 BLOUNT POINT RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2066
Mailing Address - Country:US
Mailing Address - Phone:757-927-2238
Mailing Address - Fax:757-223-4809
Practice Address - Street 1:591 BLOUNT POINT RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2066
Practice Address - Country:US
Practice Address - Phone:757-927-2238
Practice Address - Fax:757-223-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0443000009261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental