Provider Demographics
NPI:1740824523
Name:BIGG SMILES, LLC
Entity type:Organization
Organization Name:BIGG SMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BIGG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:804-436-3070
Mailing Address - Street 1:145 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5142
Mailing Address - Country:US
Mailing Address - Phone:401-294-4315
Mailing Address - Fax:
Practice Address - Street 1:145 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5142
Practice Address - Country:US
Practice Address - Phone:401-294-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty