Provider Demographics
NPI:1528796620
Name:CARE FOR SMILES LLC
Entity type:Organization
Organization Name:CARE FOR SMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-707-2821
Mailing Address - Street 1:440 S PICKETT ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-4706
Mailing Address - Country:US
Mailing Address - Phone:517-413-0833
Mailing Address - Fax:
Practice Address - Street 1:440 S PICKETT ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-4706
Practice Address - Country:US
Practice Address - Phone:517-413-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty