Provider Demographics
NPI:1306448147
Name:HAPPY SMILES DENTISTRY OF WESTCHESTER PLLC
Entity type:Organization
Organization Name:HAPPY SMILES DENTISTRY OF WESTCHESTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RENUKA
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:BIJOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-432-4004
Mailing Address - Street 1:325 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2096
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 KRAFT AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4134
Practice Address - Country:US
Practice Address - Phone:914-432-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty