SMILE TEAM PC NPI 1215574355

NPI Information

NPI: 1215574355
Provider Name: SMILE TEAM PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9301 BANES ST
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 709-0001
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SMILE TEAM PC is a dental clinic center in Philadelphia, PA. SMILE TEAM PC NPI is 1215574355. The provider is registered as an organization entity type.

The provider's business location address is:

9301 BANES ST
PHILADELPHIA, PA
ZIP 19115-201
Phone: (215) 709-0001
Fax: (215) 709-6002

The provider's authorized official is Bansi Doescher .
The authorized official title is Owner and has the following contact phone number (215) 709-0001.

The enumeration date for this NPI number is 12/9/2019 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1035067790001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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