Provider Demographics
NPI:1588372353
Name:ALL SMILES INC
Entity type:Organization
Organization Name:ALL SMILES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDH
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-271-7398
Mailing Address - Street 1:E9584 350TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELK MOUND
Mailing Address - State:WI
Mailing Address - Zip Code:54739-9071
Mailing Address - Country:US
Mailing Address - Phone:715-440-5361
Mailing Address - Fax:
Practice Address - Street 1:E9584 350TH AVE
Practice Address - Street 2:
Practice Address - City:ELK MOUND
Practice Address - State:WI
Practice Address - Zip Code:54739-9071
Practice Address - Country:US
Practice Address - Phone:715-440-5361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty