Small Smiles Dentistry of Newburgh, LLC

NPI #1295934891 in Newburgh, New York

Provider Information

NPI Number: 1295934891
Entity Type: Organization
Organization Name: Small Smiles Dentistry of Newburgh, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 13, 2007
Last Updated: May 17, 2010

Practice Location

Address: 136 LAKE ST
Address 2: SUITE 11
City: Newburgh
State: New York
ZIP Code: 12550-5245
Phone: (719) 562-4461

Authorized Official

Name: MS. TRUDY WILLIAMS
Title: DIRECTOR, LICENSING & CREDENTIALING
Phone: (615) 750-0342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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