Healthcare Provider Details

I. General information

NPI: 1528401619
Provider Name (Legal Business Name): SMILEKRAFTERS DENTAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 S CEDAR CREST BLVD SUITE 300
ALLENTOWN PA
18103-6298
US

IV. Provider business mailing address

401 COMMERCE DR STE 108
FORT WASHINGTON PA
19034-2724
US

V. Phone/Fax

Practice location:
  • Phone: 610-628-1228
  • Fax: 610-432-2332
Mailing address:
  • Phone: 215-646-6188
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MR. NIRANJAN M SAVANI
Title or Position: OWNER
Credential:
Phone: 215-237-9227