Provider Demographics
NPI:1174547574
Name:MY BEST SMILE, P.C
Entity type:Organization
Organization Name:MY BEST SMILE, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KOKAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MAGD
Authorized Official - Phone:724-869-0446
Mailing Address - Street 1:1624 W STATE ST
Mailing Address - Street 2:NORTHERN LIGHTS SHOPPING PLAZA
Mailing Address - City:BADEN
Mailing Address - State:PA
Mailing Address - Zip Code:15005-1207
Mailing Address - Country:US
Mailing Address - Phone:724-869-0446
Mailing Address - Fax:
Practice Address - Street 1:1624 W STATE ST
Practice Address - Street 2:NORTHERN LIGHTS SHOPPING PLAZA
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1207
Practice Address - Country:US
Practice Address - Phone:724-869-0446
Practice Address - Fax:724-869-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022717-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty