Affordable Smiles
Dentist, General Practice in Evansville, IN. Organization (NPI-2).
NPI number1619129012
StatusActive
Last updated in NPPESOct 16, 2008
Details
- NPI
- 1619129012
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Smiles
- Organization subpart
- No
- Enumeration date
- Oct 16, 2008
- Last updated
- Oct 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1030 Washington AveEvansville, IN 47714-1844
Phone 812-490-9995
Mailing address
1030 Washington AveEvansville, IN 47714-1844
Authorized official
Tara Doughty
Office Manager
8124909995
Is something wrong?
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