Provider Demographics
NPI:1255893244
Name:BAIG SMILES PLLC
Entity type:Organization
Organization Name:BAIG SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:RAZA
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-366-1988
Mailing Address - Street 1:401 AVALON WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-7802
Mailing Address - Country:US
Mailing Address - Phone:781-366-1988
Mailing Address - Fax:
Practice Address - Street 1:558 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1634
Practice Address - Country:US
Practice Address - Phone:617-527-0217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1801236856Medicaid