Provider Demographics
NPI:1831577824
Name:SIRINITY SMILES
Entity type:Organization
Organization Name:SIRINITY SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHAROEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-723-4947
Mailing Address - Street 1:256 COLUMBIA TPKE
Mailing Address - Street 2:NORTH TOWER, SUITE 213
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1209
Mailing Address - Country:US
Mailing Address - Phone:973-377-6300
Mailing Address - Fax:973-822-1098
Practice Address - Street 1:256 COLUMBIA TPKE
Practice Address - Street 2:NORTH TOWER, SUITE 213
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1209
Practice Address - Country:US
Practice Address - Phone:973-377-6300
Practice Address - Fax:973-822-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02449300261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental