Healthcare Provider Details

I. General information

NPI: 1134929250
Provider Name (Legal Business Name): R-SMILE DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100B KINGS WAY W # 100B
SEWELL NJ
08080-2235
US

IV. Provider business mailing address

100B KINGS WAY W STE 100B
SEWELL NJ
08080-2235
US

V. Phone/Fax

Practice location:
  • Phone: 856-464-1900
  • Fax:
Mailing address:
  • Phone: 856-464-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: RASHMI SRIVASTAVA
Title or Position: OWNER
Credential: DDS
Phone: 626-710-3459