Provider Demographics
NPI:1104705672
Name:SMILE CRAFTERS DENTAL STUDIO P.C
Entity type:Organization
Organization Name:SMILE CRAFTERS DENTAL STUDIO P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MUATH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARALSHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:708-262-1845
Mailing Address - Street 1:2646 LOIS ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-3500
Mailing Address - Country:US
Mailing Address - Phone:219-762-3010
Mailing Address - Fax:
Practice Address - Street 1:2646 LOIS ST
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-3500
Practice Address - Country:US
Practice Address - Phone:219-762-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty