# SMILE IMPLANT CENTER

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

## Provider details

- **NPI number:** 1942537352
- **Authorized official:** DR. THOMAS J TEICH DDS (DENTIST)
- **Authorized official phone:** (949) 732-1992

## Contact information

- **Practice address:** 100 BAYVIEW CIRCLE, SOUTH TOWER, SUITE 600, NEWPORT BEACH, CA 92660
- **Practice address phone:** (949) 732-1992
- **Practice address fax:** (949) 509-7681
- **Mailing address:** 100 BAYVIEW CIRCLE, SOUTH TOWER, SUITE 600, NEWPORT BEACH, CA 92660
- **Mailing address phone:** (949) 732-1992
- **Mailing address fax:** (949) 509-7681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 49682 | CA | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 11/05/2009