Provider Demographics
NPI:1760659148
Name:ALTOONA SMILES P.C.
Entity type:Organization
Organization Name:ALTOONA SMILES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JON
Authorized Official - Last Name:FORSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-967-3046
Mailing Address - Street 1:2575 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1729
Mailing Address - Country:US
Mailing Address - Phone:515-967-3046
Mailing Address - Fax:515-957-9573
Practice Address - Street 1:2575 1ST AVE S
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1729
Practice Address - Country:US
Practice Address - Phone:515-967-3046
Practice Address - Fax:515-975-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty