Provider Demographics
NPI:1730506791
Name:SMILES IN THE VILLAGE LLC
Entity type:Organization
Organization Name:SMILES IN THE VILLAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-575-6101
Mailing Address - Street 1:2169 GLEBE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7294
Mailing Address - Country:US
Mailing Address - Phone:317-575-6101
Mailing Address - Fax:
Practice Address - Street 1:2169 GLEBE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7294
Practice Address - Country:US
Practice Address - Phone:317-575-6101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009945A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty