Provider Demographics
NPI:1801990940
Name:ALL SMILES DENTAL
Entity type:Organization
Organization Name:ALL SMILES DENTAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:CIARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-529-1199
Mailing Address - Street 1:945 CROMWELL AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067
Mailing Address - Country:US
Mailing Address - Phone:860-529-1199
Mailing Address - Fax:860-529-3760
Practice Address - Street 1:945 CROMWELL AVE
Practice Address - Street 2:SUITE H
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3008
Practice Address - Country:US
Practice Address - Phone:860-529-1199
Practice Address - Fax:860-529-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty