SMILE FOR LIFE PC NPI 1902459902

NPI Information

SMILE FOR LIFE PC 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 FOR LIFE PC NPI is 1902459902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9173 ROOSEVELT BLVD SPC 22
PHILADELPHIA, PA
ZIP 19114-204
Phone: (215) 515-4797

The provider's authorized official is Nino Taboridze .
The authorized official title is Manager and has the following contact phone number (215) 552-9800.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 8/7/2019.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.