Healthcare Provider Details

I. General information

NPI: 1427960194
Provider Name (Legal Business Name): DENTAI SMILE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 MAIN ST STE 201
CONCORD MA
01742-3327
US

IV. Provider business mailing address

147 HIGH ST
ACTON MA
01720-4217
US

V. Phone/Fax

Practice location:
  • Phone: 978-678-4920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: RUOXI DAI
Title or Position: OWNER
Credential:
Phone: 978-678-4920