# SMILE USA FOR RECONSTRUCTIVE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033383740
- **Authorized official:** DR. SHANKAR IYER DDS MDS (PRESIDENT)
- **Authorized official phone:** (908) 527-8880

## Contact information

- **Practice address:** 469 MORRIS AVE, STE. 300, ELIZABETH, NJ 07208-1967
- **Practice address phone:** (908) 527-8880
- **Practice address fax:** (908) 527-8587
- **Mailing address:** 469 MORRIS AVE STE 300, ELIZABETH, NJ 07208-1967
- **Mailing address phone:** (908) 527-8880
- **Mailing address fax:** (908) 527-8587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1020481 | NJ | — |
| 1223P0700X | Prosthodontics | 19245 | NJ | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7221509 | — | NJ |