Provider Demographics
NPI:1992349211
Name:DENTISTRY WITH A SMILE, INC.
Entity type:Organization
Organization Name:DENTISTRY WITH A SMILE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-740-9200
Mailing Address - Street 1:1160 TOWN CENTER WAY STE 14AII
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2977
Mailing Address - Country:US
Mailing Address - Phone:973-740-9200
Mailing Address - Fax:973-740-9215
Practice Address - Street 1:1160 TOWN CENTER WAY STE 14AII
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2977
Practice Address - Country:US
Practice Address - Phone:973-740-9200
Practice Address - Fax:973-740-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental