Provider Demographics
NPI:1932584471
Name:KIDDSMILES PEDIATRIC DENTISTRY PLLC 6
Entity Type:Organization
Organization Name:KIDDSMILES PEDIATRIC DENTISTRY PLLC 6
Other - Org Name:KIDDSMILES PEDIATRIC DENTISTRY PLLC 6
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-576-4254
Mailing Address - Street 1:180 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4910
Mailing Address - Country:US
Mailing Address - Phone:631-576-4254
Mailing Address - Fax:
Practice Address - Street 1:180 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4910
Practice Address - Country:US
Practice Address - Phone:631-576-4254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0514621223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty