Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premium Smiles LLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1811776636

Premium Smiles LLC is an Oral and Maxillofacial Surgery Clinic/Center in Elmont, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1810 Harriet St
Elmont, NY 11003-4326
Phone: (718) 294-3725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1811776636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alejandro Williams — Owner · (718) 294-3725
NPI enumeratedSeptember 22, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing addressPo Box 1097, Bronx, NY 10453-1015