SMILE DESIGNERS DENTAL CENTER LLC NPI 1336488725

NPI Information

NPI: 1336488725
Provider Name: SMILE DESIGNERS DENTAL CENTER, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7234 RISING SUN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 745-4313
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SMILE DESIGNERS DENTAL CENTER, LLC is a dental clinic center in Philadelphia, PA. SMILE DESIGNERS DENTAL CENTER, LLC NPI is 1336488725. The provider is registered as an organization entity type.

The provider's business location address is:

7234 RISING SUN AVE
PHILADELPHIA, PA
ZIP 19111-948
Phone: (215) 745-4313
Fax: (215) 745-4388

The provider's authorized official is Andrey Rossius .
The authorized official title is Owner Member and has the following contact phone number (484) 557-2120.

The enumeration date for this NPI number is 2/5/2013 and was last updated on 2/5/2013.

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	DS038958	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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