MEDICARE: SMILE STUDIO PLLC

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1265043632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE STUDIO PLLC

Provider Business Mailing Address
First Line	:	253 ADAMS ST
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02122-1334
Country	:	US
Telephone Number	:	617-265-5606
Fax Number	:

Provider Business Practice Location Address
First Line	:	1428 DORCHESTER AVE # 1
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02122-2922
Country	:	US
Telephone Number	:	650-450-1596
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. KHUSHBOO JAIN
Credential	:
Telephone Number	:	617-265-5606

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	10/09/2025

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Directions to “SMILE STUDIO PLLC ” Practice Location

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