SMILES 4 KIDS 111 LLC – NPI #1255660080
Clinic/Center

SMILES 4 KIDS 111 LLC is an AHC clinic located in EAGLE, CO. NPPES has assigned the NPI number 1255660080 to SMILES 4 KIDS 111 LLC on December 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SMILES 4 KIDS 111 LLC below.

NPI Profile for
SMILES 4 KIDS 111 LLC

NPI Number
1255660080
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SMILES 4 KIDS 111 LLC
Primary location
50 CHAMBER AVE
EAGLE, CO 81631
Phone: (970) 249-8595 Fax:
Mailing address
1601 OXBOW DRIVE
SUITE 360 A
MONTROSE, CO 81401
Phone: (970) 249-8595 Fax:
Organization Subpart
No
Authorized Official
BENJAMIN WILSON
OWNER
Phone: (970) 249-8595
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CO 8632

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.