Healthcare Provider Details

I. General information

NPI: 1225849839
Provider Name (Legal Business Name): SMILE TO SMILES, L.C.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8464 S BINGHAM VIEW DR
WEST JORDAN UT
84088-5900
US

IV. Provider business mailing address

8464 S BINGHAM VIEW DR
WEST JORDAN UT
84088-5900
US

V. Phone/Fax

Practice location:
  • Phone: 801-759-7728
  • Fax:
Mailing address:
  • Phone: 801-759-7728
  • 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: APRIL ZAMBRANO
Title or Position: PRESIDENT
Credential: RDH
Phone: 801-759-7728