| Smiles For Life | |
|
115 Oakwood Dr Bridgewater VA 22812-9544 | |
| (540) 828-2343 | |
| Not Available |
| Full Name | Smiles For Life |
|---|---|
| Speciality | Dentist |
| Location | 115 Oakwood Dr, Bridgewater, Virginia |
| Authorized Official Name and Position | Becky Mcintyre (OFFICE MANAGER) |
| Authorized Official Contact | 5408282343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles For Life 115 Oakwood Dr Bridgewater VA 22812-9544 Ph: () - | Smiles For Life 115 Oakwood Dr Bridgewater VA 22812-9544 Ph: (540) 828-2343 |
| NPI Number | 1366851685 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 10/06/2014 |
| Medicare PECOS PAC ID | 8426363706 |
|---|---|
| Medicare Enrollment ID | O20170412002099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366851685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 401412556 (Virginia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 401412556 (Virginia) | Secondary |
| Provider Name | Daniel D Whiting |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992933667 PECOS PAC ID: 3779745112 Enrollment ID: I20120502000059 |
| Provider Name | Joseph Mcintyre |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023090727 PECOS PAC ID: 8123280567 Enrollment ID: I20120502000064 |
| Provider Name | Mohamed M Elghannam |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831717180 PECOS PAC ID: 1254720576 Enrollment ID: I20211108001486 |
Mcintyre & Whiting Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Oakwood Dr, Bridgewater, VA 22812 Phone: 540-828-2312 | |
Parkside Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Parkside Dr, Bridgewater, VA 22812 Phone: 540-828-3518 Fax: 540-828-6667 |