Provider Demographics
NPI:1952997504
Name:SMILES4CHIDREN
Entity Type:Organization
Organization Name:SMILES4CHIDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-601-2175
Mailing Address - Street 1:5961 EXCHANGE DR STE 116
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9266
Mailing Address - Country:US
Mailing Address - Phone:410-549-1212
Mailing Address - Fax:410-542-8446
Practice Address - Street 1:5961 EXCHANGE DR STE 116
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-9266
Practice Address - Country:US
Practice Address - Phone:410-549-1212
Practice Address - Fax:410-552-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty