Provider Demographics
NPI:1861076499
Name:SMILE INNOVATIONS INC
Entity type:Organization
Organization Name:SMILE INNOVATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONAK
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-377-1822
Mailing Address - Street 1:30093 SOUTHWELL LN
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33543-9539
Mailing Address - Country:US
Mailing Address - Phone:561-352-3917
Mailing Address - Fax:
Practice Address - Street 1:28868 SR 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-3354
Practice Address - Country:US
Practice Address - Phone:813-377-1822
Practice Address - Fax:913-317-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty