SMILE LINE DENTAL NPI 1609171388

NPI Information

SMILE LINE DENTAL is a general practice dentist in Philadelphia, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE LINE DENTAL NPI is 1609171388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8115 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128-901
Phone: (215) 487-2347
Fax: (215) 487-1459

The provider's authorized official is Sung Joo Jeong .
The authorized official title is Owner and has the following contact phone number (610) 828-1666.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 1/11/2011.

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:

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