Provider Demographics
NPI:1144102898
Name:SHEER SMILE LLC
Entity type:Organization
Organization Name:SHEER SMILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:N
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-814-1107
Mailing Address - Street 1:298 VANCE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VALLEY PARK
Mailing Address - State:MO
Mailing Address - Zip Code:63088-1597
Mailing Address - Country:US
Mailing Address - Phone:636-861-0807
Mailing Address - Fax:
Practice Address - Street 1:298 VANCE RD STE 100
Practice Address - Street 2:
Practice Address - City:VALLEY PARK
Practice Address - State:MO
Practice Address - Zip Code:63088-1597
Practice Address - Country:US
Practice Address - Phone:636-861-0807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental