Healthcare Provider Details

I. General information

NPI: 1861324204
Provider Name (Legal Business Name): SMILE FAMILY DENTAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 MORRIS AVE
UNION NJ
07083-5902
US

IV. Provider business mailing address

2170 MORRIS AVE
UNION NJ
07083-5902
US

V. Phone/Fax

Practice location:
  • Phone: 973-820-7910
  • Fax: 908-686-7192
Mailing address:
  • Phone: 973-820-7910
  • Fax: 908-686-7192

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: JANETH ALDREA OSINOWO
Title or Position: OFFICE MANAGER
Credential: OSINOWO
Phone: 973-820-7910