Provider Demographics
NPI:1912136599
Name:HUDSON SMILES FAMILY DENTAL PLLC
Entity Type:Organization
Organization Name:HUDSON SMILES FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJANI
Authorized Official - Middle Name:R
Authorized Official - Last Name:NALLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-204-5005
Mailing Address - Street 1:36 LIBRARY ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4243
Mailing Address - Country:US
Mailing Address - Phone:603-204-5005
Mailing Address - Fax:603-204-5006
Practice Address - Street 1:36 LIBRARY ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4243
Practice Address - Country:US
Practice Address - Phone:603-204-5005
Practice Address - Fax:603-204-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-05
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03409122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty