# UNION CITY SMILINE DENTAL, P.C.

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

## Provider details

- **NPI number:** 1417291345
- **Authorized official:** USHA POLAVARAPU D.D.S (DENTIST)
- **Authorized official phone:** (973) 372-5640

## Contact information

- **Practice address:** 3906 BERGENLINE AVE., UNION CITY, NJ 07087
- **Practice address phone:** (201) 330-7600
- **Practice address fax:** (201) 330-0298
- **Mailing address:** 3906 BERGENLINE AVE, UNION CITY, NJ 07087
- **Mailing address phone:** (201) 330-7600
- **Mailing address fax:** (201) 330-0298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01912600 | NJ | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7421109 | — | NJ |