# SMILE CENTRAL DENTAL PC

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

## Provider details

- **NPI number:** 1629089909
- **Authorized official:** ROBERT GRUNSTEIN DMD (OWNER)
- **Authorized official phone:** (973) 742-4200

## Contact information

- **Practice address:** 140 MARKET STREET, 3RD FLOOR, PATERSON, NJ 07505
- **Practice address phone:** (973) 742-4200
- **Practice address fax:** (973) 742-4997
- **Mailing address:** 140 MARKET STREET, 3RD FLOOR, PATERSON, NJ 07505
- **Mailing address phone:** (973) 742-4200
- **Mailing address fax:** (973) 742-4997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI21533 | NJ | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 03/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0083518 | — | NJ |
