Healthcare Provider Details

I. General information

NPI: 1821904426
Provider Name (Legal Business Name): SMART SMILE DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON ST STE 206
WELLESLEY MA
02481-1706
US

IV. Provider business mailing address

15 RONALD RD
SUDBURY MA
01776-1915
US

V. Phone/Fax

Practice location:
  • Phone: 781-235-4580
  • Fax: 781-235-4543
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DEMPSEY
Title or Position: OWNER
Credential: DMD
Phone: 732-618-1411