Provider Demographics
NPI:1891259347
Name:SMILE MORE ORTHODONTICS
Entity Type:Organization
Organization Name:SMILE MORE ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:YU LIANG
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-500-8828
Mailing Address - Street 1:7-11 S BROADWAY STE 104
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3520
Mailing Address - Country:US
Mailing Address - Phone:914-500-8828
Mailing Address - Fax:
Practice Address - Street 1:7-11 S BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3520
Practice Address - Country:US
Practice Address - Phone:914-500-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty