Provider Demographics
NPI:1972851285
Name:LITTLE SMILES DENTAL CARE
Entity Type:Organization
Organization Name:LITTLE SMILES DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-761-1126
Mailing Address - Street 1:101 W HAMPDEN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2475
Mailing Address - Country:US
Mailing Address - Phone:303-761-1126
Mailing Address - Fax:303-761-1136
Practice Address - Street 1:101 W HAMPDEN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2475
Practice Address - Country:US
Practice Address - Phone:303-761-1126
Practice Address - Fax:303-761-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty