Provider Demographics
NPI:1457155863
Name:EVERLASTING SMILES 4 U
Entity type:Organization
Organization Name:EVERLASTING SMILES 4 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-371-4921
Mailing Address - Street 1:16712 SE 161ST ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-4224
Mailing Address - Country:US
Mailing Address - Phone:206-371-4921
Mailing Address - Fax:
Practice Address - Street 1:16712 SE 161ST ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-4224
Practice Address - Country:US
Practice Address - Phone:206-371-4921
Practice Address - Fax:206-238-9363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty