Provider Demographics
NPI:1841713344
Name:FAMILY SMILES DENTAL, PLLC
Entity type:Organization
Organization Name:FAMILY SMILES DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FLIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-430-9394
Mailing Address - Street 1:12 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2452
Mailing Address - Country:US
Mailing Address - Phone:845-430-9394
Mailing Address - Fax:
Practice Address - Street 1:939 ROUTE 376
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-7611
Practice Address - Country:US
Practice Address - Phone:845-223-9987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty