Provider Demographics
NPI:1922895945
Name:SMILENOW DENTAL HYGIENE SERVICES LLC
Entity type:Organization
Organization Name:SMILENOW DENTAL HYGIENE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANJUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPPADAKATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-972-9499
Mailing Address - Street 1:32530 SHIELA WAY
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5048
Mailing Address - Country:US
Mailing Address - Phone:510-972-9499
Mailing Address - Fax:
Practice Address - Street 1:32530 SHIELA WAY
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-5048
Practice Address - Country:US
Practice Address - Phone:510-972-9499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental