Healthcare Provider Details

I. General information

NPI: 1518558337
Provider Name (Legal Business Name): SMILE CENTER DENTAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7007
US

IV. Provider business mailing address

3950 NEBRASKA AVE STE C1
LEVITTOWN PA
19056-3375
US

V. Phone/Fax

Practice location:
  • Phone: 202-621-9260
  • Fax:
Mailing address:
  • Phone: 215-785-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: VIKAS ARORA
Title or Position: OWNER
Credential:
Phone: 215-785-1100