OrganizationActive
Simply Smile Dental PC
NPI 1295194363 · Dentist · Glendale, NY
Simply Smile Dental PC is a Dentist organization in Glendale, NY (NPI 1295194363).
Provider details
- NPI number
- 1295194363
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Juan Portela, President(347) 924-7736
- License
- 053665 (NY)
Practice location
6222 Myrtle Ave
Glendale, NY 11385-6236
Phone: (718) 821-7432
Street-level locationGet directions
Mailing address
4545 Center Blvd Apt 2908
Long Island City, NY 11109-5960
Registry dates
- Enumerated
- 2016-02-18
- Last updated
- 2016-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.