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NPI Code Detail

MEDICARE: SMILE STUDIO OF HARLEYSVILLE

MEDICARE: SMILE STUDIO OF HARLEYSVILLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1508621541
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMILE STUDIO OF HARLEYSVILLE
Provider Business Mailing Address
First Line : 304 FAIRFIELD CIR S
Second Line :
City : ROYERSFORD
State : PA
Zip : 19468-2864
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 528 MAIN ST STE 101
Second Line :
City : HARLEYSVILLE
State : PA
Zip : 19438-2266
Country : US
Telephone Number : 215-256-8285
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SUMIT MORADIA
Credential :
Telephone Number : 724-470-7323
Provider Enumeration Date : 02/19/2024
Last Update Date : 02/19/2024

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Directions to “SMILE STUDIO OF HARLEYSVILLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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