Provider Demographics
NPI:1124309968
Name:PROTECTING ALL SMILES, LLC
Entity type:Organization
Organization Name:PROTECTING ALL SMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHOUINARD
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:774-930-2052
Mailing Address - Street 1:153 PLYMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4623
Mailing Address - Country:US
Mailing Address - Phone:774-930-2052
Mailing Address - Fax:
Practice Address - Street 1:153 PLYMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4623
Practice Address - Country:US
Practice Address - Phone:774-930-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADH12734124Q00000X
MADH12750124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty