SMILE WIDE
NPI 1912268939
Dentist - Pediatric Dentistry in Santa Ana, CA

Active since June 06, 2012
1109 W 17TH ST, SANTA ANA, CA 92706(714) 835-2383(714) 835-3917 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Smile Wide NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE WIDE (NPI 1912268939) is a healthcare organization registered as a pediatric dentistry in Santa Ana, California and active in the NPI registry since June 2012. The organization lists Kiavash Kevin Badii, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1912268939
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBADII LEE DENTAL CORPORATION, INC
Location Address1109 W 17TH STSanta Ana, CA 92706-3505
Mailing Address1109 W 17th StSanta Ana, CA 92706-3505 · (714) 835-2383 · Fax (714) 835-3917
Fax(714) 835-3917
Organization SubpartNo
Authorized OfficialKiavash Kevin BadiiDirector/owner · (949) 548-5588
Enumeration DateJune 6, 2012
Last NPPES UpdateMarch 30, 2015
NPI 1912268939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X
1109 W 17TH ST, Santa Ana, CA 92706

Other Names 1

Doing Business AsSmile Wide

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
1109 W 17TH ST
SANTA ANA, CA 92706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912268939, enumerated as an "organization" on June 06, 2012.

The provider is located at 1109 W 17TH ST SANTA ANA, CA 92706 and the phone number is (714) 835-2383.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.