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NPI Code Detail

MEDICARE: SMILEY DENTAL CARE,PLLC

MEDICARE: SMILEY DENTAL CARE,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
1122300000XDentistDN1855632MA

General Provider Information

NPI Number : 1477009009
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMILEY DENTAL CARE,PLLC
Provider Business Mailing Address
First Line : 30 CHERRY BROOK RD
Second Line :
City : WESTON
State : MA
Zip : 02493-1306
Country : US
Telephone Number : 617-335-1167
Fax Number :
Provider Business Practice Location Address
First Line : 1141 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1292
Country : US
Telephone Number : 617-335-1167
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. APARNA KHANNA
Credential : DMD
Telephone Number : 617-335-1167
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/01/2016

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Directions to “SMILEY DENTAL CARE,PLLC ” Practice Location

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