Provider Demographics
NPI:1336150697
Name:SMART DENTAL INC.
Entity Type:Organization
Organization Name:SMART DENTAL INC.
Other - Org Name:BRIGHT DENTAL OF ARLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAGED
Authorized Official - Middle Name:A
Authorized Official - Last Name:EL-MALECKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-548-8003
Mailing Address - Street 1:19 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474
Mailing Address - Country:US
Mailing Address - Phone:781-643-2344
Mailing Address - Fax:781-641-3483
Practice Address - Street 1:19 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474
Practice Address - Country:US
Practice Address - Phone:781-643-2344
Practice Address - Fax:781-641-3483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty