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KIDS SMILES NPI 1851432298


NPI Information

NPI: 1851432298
Provider Name: KIDS SMILES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5828 MARKET ST # B
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 747-6901
Get Directions

KIDS SMILES 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. KIDS SMILES NPI is 1851432298. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5828 MARKET ST # B
PHILADELPHIA, PA
ZIP 19139-114
Phone: (215) 747-6901
Fax: (215) 747-6907

The provider's authorized official is Noni Mastra .
The authorized official title is Financial Director and has the following contact phone number (215) 747-6901.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS036815PENNSYLVANIANo
21223G0001XDentistGeneral PracticeDS021445LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10018280190002MEDICAIDPENNSYLVANIA

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

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