Provider Demographics
NPI:1427943901
Name:SMILE STUDIO DENTAL, PLLC
Entity type:Organization
Organization Name:SMILE STUDIO DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-617-1499
Mailing Address - Street 1:8801 E MONTVIEW BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238
Mailing Address - Country:US
Mailing Address - Phone:720-617-1499
Mailing Address - Fax:720-617-1495
Practice Address - Street 1:8801 E MONTVIEW BLVD STE 120
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238
Practice Address - Country:US
Practice Address - Phone:720-617-1499
Practice Address - Fax:720-617-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty