Provider Demographics
NPI:1134010481
Name:SMILESTRY PLLC
Entity type:Organization
Organization Name:SMILESTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER/GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JULISSA
Authorized Official - Middle Name:MAGDALY
Authorized Official - Last Name:GUERRA PERCOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-200-7403
Mailing Address - Street 1:24 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2228
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:424 PAYNE RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9563
Practice Address - Country:US
Practice Address - Phone:207-503-0030
Practice Address - Fax:207-503-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental