Provider Demographics
NPI:1255773016
Name:YOU SMILE DENTAL
Entity type:Organization
Organization Name:YOU SMILE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINGA
Authorized Official - Middle Name:MURTHY
Authorized Official - Last Name:VUPPALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-267-3655
Mailing Address - Street 1:893 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023
Mailing Address - Country:US
Mailing Address - Phone:831-636-5391
Mailing Address - Fax:831-636-5694
Practice Address - Street 1:893 SUNSET DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5601
Practice Address - Country:US
Practice Address - Phone:831-636-5391
Practice Address - Fax:831-636-5694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty