Organization Name: | SMILE MORE DENTISTRY, PC |
NPI Number: | 1720421985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARREN W TONG (PRESIDENT) |
Mailing Address: | 140 Oak Tree Rd Tappan |
State: | NY US |
Postal Code: | 109832810 |
Phone Number: | 8453591763 |
Fax Number: | 8453591783 |
NPI Enumeration Date: | 04/08/2013 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 044008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |