Healthcare Provider Details

I. General information

NPI: 1427520824
Provider Name (Legal Business Name): NEOSMILE DENTAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2018
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SUMNEYTOWN PIKE STE 101
SPRING HOUSE PA
19477-1011
US

IV. Provider business mailing address

800 N BETHLEHEM PIKE
AMBLER PA
19002-2642
US

V. Phone/Fax

Practice location:
  • Phone: 215-643-5220
  • Fax: 215-643-3575
Mailing address:
  • Phone: 215-643-5220
  • Fax: 215-643-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. BHADRESH MAKANI
Title or Position: PRESIDENT
Credential: DDS
Phone: 281-602-9373