| Smile Makers, Pc | |
|
1192 W Penn Ave Suite 3 Womelsdorf PA 19567-9702 | |
| (610) 589-6084 | |
| (610) 589-6284 |
| Full Name | Smile Makers, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1192 W Penn Ave, Womelsdorf, Pennsylvania |
| Authorized Official Name and Position | Matthew Ghadami (DENTIST) |
| Authorized Official Contact | 5166332109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Makers, Pc 1192 W. Penn Ave Suite 3 Womelsdorf PA 19567 Ph: (610) 589-6084 | Smile Makers, Pc 1192 W Penn Ave Suite 3 Womelsdorf PA 19567-9702 Ph: (610) 589-6084 |
| NPI Number | 1285936195 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285936195 | NPI | - | NPPES |
| 241411041 | Other | PA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS038126 (Pennsylvania) | Primary |
Smile Makers Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1192 W Penn Ave, Womelsdorf, PA 19567 Phone: 610-589-6084 |