Provider Demographics
NPI:1992093868
Name:SHRIJI SMILES, INC.
Entity type:Organization
Organization Name:SHRIJI SMILES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-509-5021
Mailing Address - Street 1:234 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7136
Mailing Address - Country:US
Mailing Address - Phone:978-509-5021
Mailing Address - Fax:
Practice Address - Street 1:1245 PAWTUCKET BLVD
Practice Address - Street 2:#5
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-1927
Practice Address - Country:US
Practice Address - Phone:978-509-5021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty