Provider Demographics
NPI:1932269628
Name:ALL ABOUT SMILES
Entity Type:Organization
Organization Name:ALL ABOUT SMILES
Other - Org Name:MICHAEL A KRUPKA DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRUPKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-621-9700
Mailing Address - Street 1:3207 ARAPAHO DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758
Mailing Address - Country:US
Mailing Address - Phone:479-621-9700
Mailing Address - Fax:479-621-6166
Practice Address - Street 1:3207 ARAPAHO DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1363
Practice Address - Country:US
Practice Address - Phone:479-621-9700
Practice Address - Fax:479-621-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR32021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty