# SMILE CONCEPTS LLC

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

## Provider details

- **NPI number:** 1952919847
- **Authorized official:** DR. JORGE RODRIGUEZ JORDA DDS (MEMBER)
- **Authorized official phone:** (219) 319-0108

## Contact information

- **Practice address:** 1519 US HIGHWAY 41 STE B8, SCHERERVILLE, IN 46375-1373
- **Practice address phone:** (219) 319-0108
- **Practice address fax:** (219) 440-7438
- **Mailing address:** 8455 W 101ST PL, SAINT JOHN, IN 46373-7703
- **Mailing address phone:** (786) 838-3683

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020