Provider Demographics
NPI:1285120030
Name:DGWSMILES LTD.
Entity type:Organization
Organization Name:DGWSMILES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-824-3456
Mailing Address - Street 1:5800 MONROE ST STE D2
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2205
Mailing Address - Country:US
Mailing Address - Phone:419-824-3456
Mailing Address - Fax:
Practice Address - Street 1:5800 MONROE ST STE D2
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2205
Practice Address - Country:US
Practice Address - Phone:419-824-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental