Healthcare Provider Details

I. General information

NPI: 1841507373
Provider Name (Legal Business Name): SMILE KRAFTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 09/03/2010
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
FORT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 610-628-1228
  • Fax:
Mailing address:
  • Phone: 215-550-7186
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS036490
License Number StatePA

VIII. Authorized Official

Name: BHASKAR SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 215-550-7186