Provider Demographics
NPI:1588975080
Name:CONFIDENT SMILES, PA
Entity type:Organization
Organization Name:CONFIDENT SMILES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DMD
Authorized Official - Prefix:DR
Authorized Official - First Name:SONAL
Authorized Official - Middle Name:VEERAL
Authorized Official - Last Name:BHOOT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-223-4041
Mailing Address - Street 1:14109 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-4516
Mailing Address - Country:US
Mailing Address - Phone:913-851-1018
Mailing Address - Fax:913-851-1326
Practice Address - Street 1:14109 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-4516
Practice Address - Country:US
Practice Address - Phone:913-851-1018
Practice Address - Fax:913-851-1326
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONFIDENT SMILES, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-29
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS606311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty