Organization
PERFECT SMILE BRACES, P.C.
Active
Other names
Perfect Smile Braces
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BAILEY DMD, MS (PRESIDENT/OWNER)
(347) 801-8888
Entity
Organization
Contact information
Practice address
555 E FORDHAM RD, BRONX, NY 10458-5046
(347) 801-8888
(347) 801-8888
Mailing address
555 E FORDHAM RD, BRONX, NY 10458-5046
(347) 801-8888
(347) 801-8888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05333019
—
NY
01
—
1235567173
JEONG RAE CHO, DDS TYPE 1 NPI
NY
01
—
1295272441
NISHI GARG, DMD TYPE 1 NPI ASSOCIATE
IL
01
—
1578957270
ZACHARY HIRSCH, DDS TYPE 1 NPI
—
01
—
1790041523
EMIL BAILEY, DMD TYPE 1 NPI
—
Enumeration date
10/01/2012
Last updated
06/17/2021
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