| Wallingford Smilemakers Llc | |
|
1 Chester Rd Wallingford PA 19086-6601 | |
| (610) 874-5700 | |
| (610) 872-5348 |
| Full Name | Wallingford Smilemakers Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Chester Rd, Wallingford, Pennsylvania |
| Authorized Official Name and Position | Ronald Michael Hayes (OWNER/DENTIST) |
| Authorized Official Contact | 6108745700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallingford Smilemakers Llc 1 Chester Rd Wallingford PA 19086-6601 Ph: (610) 874-5700 | Wallingford Smilemakers Llc 1 Chester Rd Wallingford PA 19086-6601 Ph: (610) 874-5700 |
| NPI Number | 1265838379 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265838379 | NPI | - | NPPES |
| 7370300001 | Other | PA | MEDICARE PCAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS028517L (Pennsylvania) | Primary |