Provider Demographics
NPI:1992516561
Name:U SMILE DENTAL GROUP
Entity type:Organization
Organization Name:U SMILE DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR. / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WEN PIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-236-3861
Mailing Address - Street 1:5800 ROSEMEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1831
Mailing Address - Country:US
Mailing Address - Phone:626-451-5800
Mailing Address - Fax:626-291-2060
Practice Address - Street 1:5800 ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-1831
Practice Address - Country:US
Practice Address - Phone:626-236-3861
Practice Address - Fax:626-291-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental