Provider Demographics
NPI:1538923883
Name:THE SMILE AISLE DENTAL GROUP
Entity type:Organization
Organization Name:THE SMILE AISLE DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VASSELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-510-6428
Mailing Address - Street 1:150 LAWRENCEVILLE PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1401
Mailing Address - Country:US
Mailing Address - Phone:973-510-6428
Mailing Address - Fax:
Practice Address - Street 1:150 LAWRENCEVILLE PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-1401
Practice Address - Country:US
Practice Address - Phone:973-510-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty