MEDICARE: PERFECT DENTAL SMILE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1922955004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECT DENTAL SMILE LLC

Provider Business Mailing Address
First Line	:	5008 WOODBRIDGE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-3303
Country	:	US
Telephone Number	:	848-219-2016
Fax Number	:	732-661-1813

Provider Business Practice Location Address
First Line	:	5008 WOODBRIDGE AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08837-3303
Country	:	US
Telephone Number	:	732-661-1800
Fax Number	:	732-661-1813

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROSARIO CRUZ TORIO
Credential	:	DDS
Telephone Number	:	848-219-2016

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “PERFECT DENTAL SMILE LLC ” Practice Location

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