Healthcare Provider Details

I. General information

NPI: 1629644612
Provider Name (Legal Business Name): SMILES TO YOU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9780 W WAGON TRAIL DR
LITTLETON CO
80123-1956
US

IV. Provider business mailing address

9780 W WAGON TRAIL DR
LITTLETON CO
80123-1956
US

V. Phone/Fax

Practice location:
  • Phone: 720-998-3909
  • Fax:
Mailing address:
  • Phone: 720-998-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY ABEYTA
Title or Position: OWNER
Credential: RDH
Phone: 720-998-3909