| Smile Pennsylvania Pllc | |
|
200 Barr Harbor Dr Suite 400-4079 West Conshohocken PA 19428-2977 | |
| (888) 833-8441 | |
| (888) 330-4331 |
| Full Name | Smile Pennsylvania Pllc |
|---|---|
| Speciality | Dentist |
| Location | 200 Barr Harbor Dr, West Conshohocken, Pennsylvania |
| Authorized Official Name and Position | Margo Yellin Woll (DENTAL DIRECTOR) |
| Authorized Official Contact | 8888338441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Pennsylvania Pllc Po Box 250310 West Bloomfield MI 48325-0310 Ph: (888) 833-8441 | Smile Pennsylvania Pllc 200 Barr Harbor Dr Suite 400-4079 West Conshohocken PA 19428-2977 Ph: (888) 833-8441 |
| NPI Number | 1942317532 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942317532 | NPI | - | NPPES |
| 1015239590001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Big Smiles Pennsylvania, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Barr Harbor Dr, Suite 400-4079, West Conshohocken, PA 19428 Phone: 888-833-8441 Fax: 888-330-4331 |