Provider Demographics
NPI:1194153445
Name:NEW ENGLAND SMILE, LLC
Entity type:Organization
Organization Name:NEW ENGLAND SMILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SCHMID
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-797-8196
Mailing Address - Street 1:233 WATER ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4041
Mailing Address - Country:US
Mailing Address - Phone:508-591-5951
Mailing Address - Fax:
Practice Address - Street 1:259 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1123
Practice Address - Country:US
Practice Address - Phone:617-797-8196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855346261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental