Healthcare Provider Details

I. General information

NPI: 1457287476
Provider Name (Legal Business Name): JH DENTAL INC, DBA SMILES FOR LIFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 POND AVE STE 100
BROOKLINE MA
02445-7128
US

IV. Provider business mailing address

33 POND AVE STE 100
BROOKLINE MA
02445-7128
US

V. Phone/Fax

Practice location:
  • Phone: 617-544-2775
  • Fax:
Mailing address:
  • Phone: 617-544-2775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JINOUS HASSANEIN
Title or Position: OWNER
Credential: D.M.D
Phone: 617-755-0395