| Affordable Smiles, Inc. | |
| 
					900 Water St Suite 16 Meadville PA 16335-3428  | |
| (814) 333-6000 | |
| (814) 333-6001 | 
| Full Name | Affordable Smiles, Inc. | 
|---|---|
| Speciality | Dentist | 
| Location | 900 Water St, Meadville, Pennsylvania | 
| Authorized Official Name and Position | Jeremy S Hitchcock (CHIEF OPERATING OFFICER) | 
| Authorized Official Contact | 8143336000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Affordable Smiles, Inc. 900 Water St Suite 16 Meadville PA 16335-3428 Ph: (814) 333-6000  | Affordable Smiles, Inc. 900 Water St Suite 16 Meadville PA 16335-3428 Ph: (814) 333-6000  | 
| NPI Number | 1336514132 | 
|---|---|
| Provider Enumeration Date | 12/04/2015 | 
| Last Update Date | 12/04/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336514132 | NPI | - | NPPES | 
| 1028886400001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | DS035205 (Pennsylvania) | Primary | 
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