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NPI Code Detail

MEDICARE: I-SMILE DENTAL ARTS STUDIO PC

MEDICARE: I-SMILE DENTAL ARTS STUDIO PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1154126175
Entity Type Code : Organization
Provider Name (Legal Business Name) : I-SMILE DENTAL ARTS STUDIO PC
Provider Business Mailing Address
First Line : 340 MAPLE ST STE 100
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3231
Country : US
Telephone Number : 508-481-0110
Fax Number : 508-481-7110
Provider Business Practice Location Address
First Line : 340 MAPLE ST STE 100
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3231
Country : US
Telephone Number : 508-481-0110
Fax Number : 508-481-7110
Authorized Official
Title or Position : PRESIDENT
Name : AMBEREEN FATIMA
Credential : DDS
Telephone Number : 508-481-0110
Provider Enumeration Date : 02/14/2025
Last Update Date : 05/30/2026

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Directions to “I-SMILE DENTAL ARTS STUDIO PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.