Provider Demographics
NPI:1912461526
Name:A-SMILE LLC
Entity Type:Organization
Organization Name:A-SMILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIADNI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-685-2358
Mailing Address - Street 1:937 STRATFORD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-6354
Mailing Address - Country:US
Mailing Address - Phone:203-923-2110
Mailing Address - Fax:
Practice Address - Street 1:937 STRATFORD AVE STE 1
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-6354
Practice Address - Country:US
Practice Address - Phone:203-923-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty