SMILE TEAM PC NPI 1215574355

NPI Information

  • NPI: 1215574355
  • Provider Name: SMILE TEAM PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 9301 BANES ST
    PHILADELPHIA, PA
    ZIP 19115
  • Phone: (215) 709-0001

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NPI Details

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
1261QD0000XClinic/CenterDentalYes

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
11035067790001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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