# PLEASANTVILLE SMILES DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pleasantville Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790502961
- **Authorized official:** TIFFANY SUDRE DDS (OWNER, DENTIST)
- **Authorized official phone:** (914) 715-6078

## Contact information

- **Practice address:** 106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
- **Practice address phone:** (914) 747-0907
- **Mailing address:** 106 WASHINGTON AVE, PLEASANTVILLE, NY 10570-2854
- **Mailing address phone:** (914) 747-0907

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 09/20/2024