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General NPI Number Information
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NPI Number | 1992631915
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Entity Type | Organization
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Legal Business Name | SMILE CENTER OF WYNCOTE, LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 1000 EASTON RD STE 315
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City | WYNCOTE
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State | PA
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Zip | 19095-2900
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Country | US
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Telephone | 267-631-1000
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Fax | 267-820-8160
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Provider Business Mailing Address
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Address Line | 1000 EASTON RD STE 315
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City | WYNCOTE
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State | PA
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Zip | 19095-2900
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Country | US
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Telephone | 267-631-1000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIRIL SHARKOV
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Credential |
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Telephone | 215-391-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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