# HEALTHY SMILE DENTAL ARTS LLC

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

## Provider details

- **NPI number:** 1508583303
- **Authorized official:** GRECY MARTINEZ DDS (DOCTOR)
- **Authorized official phone:** (929) 382-1503

## Contact information

- **Practice address:** 3610 BROADWAY, NEW YORK, NY 10031-3240
- **Practice address phone:** (212) 491-6940
- **Mailing address:** 3610 BROADWAY, NEW YORK, NY 10031-3240
- **Mailing address phone:** (212) 491-6940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2022
- **Last updated:** 10/21/2022