Provider Demographics
NPI:1831934983
Name:URBAN SMILES DENTISTRY PLLC
Entity type:Organization
Organization Name:URBAN SMILES DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-476-7701
Mailing Address - Street 1:201 ROBERT S KERR AVE STE 521
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-4202
Mailing Address - Country:US
Mailing Address - Phone:405-235-7288
Mailing Address - Fax:405-235-9581
Practice Address - Street 1:201 ROBERT S KERR AVE STE 521
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-4202
Practice Address - Country:US
Practice Address - Phone:405-235-7288
Practice Address - Fax:405-235-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-29
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental