| NPI | 1285083600 |
|---|---|
| Doing Business As | BIG SMILES |
| Entity Type | Organization |
| Authorized Contact | JOHN STUART LEVY Partner 203-393-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 5038) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 5038) |
| 122300000X Dentist (Licence: CT 5038) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 5038) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-23 |