Provider Demographics
NPI:1932788759
Name:STARLIGHT SMILES PEDIATRIC DENTISTRY, P.C.
Entity Type:Organization
Organization Name:STARLIGHT SMILES PEDIATRIC DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-258-1694
Mailing Address - Street 1:10050 SOWDER VILLAGE SQUARE
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109
Mailing Address - Country:US
Mailing Address - Phone:571-833-1440
Mailing Address - Fax:
Practice Address - Street 1:10050 SOWDER VILLAGE SQUARE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109
Practice Address - Country:US
Practice Address - Phone:571-833-1440
Practice Address - Fax:571-833-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty