# SMILE FAMILY DENTIST

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

## Provider details

- **NPI number:** 1326210410
- **Authorized official:** JOHN LETIZIA DMD (DENTIST)
- **Authorized official phone:** (212) 410-3909

## Contact information

- **Practice address:** 247 E 116TH ST, NEW YORK, NY 10029-1402
- **Practice address phone:** (212) 410-3909
- **Mailing address:** 247 E 116TH ST, GROUND FLOOR, NEW YORK, NY 10029-1402
- **Mailing address phone:** (212) 410-3909
- **Mailing address fax:** (212) 426-8362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 07/28/2008
