Agency Information

SMILING MADE SIMPLE INC

Address:

3030 SOUTH BUNDY DRIVE

LOS ANGELES, CA 90066

Phone

310-390-1000

URL:

Email:

licensing@dentalinsurance.com

National Producer Number:

22139918

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	4208454	04/01/2026	Active	04/01/2026	04/30/2029

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/01/2026	Active	04/01/2026
Life	04/01/2026	Active	04/01/2026

Company Name	Appointment Type	Status	Active Date
1460
ALPHA DENTAL OF NEVADA INC	Health	Active	06/15/2026
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	06/15/2026

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
MARK REILLY KELSEY	Designated Resp Lic Prdcr	No	04/01/2026	-

1 - 1