MEDICARE: FISHTOWN FAMILY SMILES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1184565780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FISHTOWN FAMILY SMILES PC

Provider Business Mailing Address
First Line	:	600 ASHLAND AVE
Second Line	:
City	:	SECANE
State	:	PA
Zip	:	19018-3504
Country	:	US
Telephone Number	:	610-237-6848
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 ASHLAND AVE
Second Line	:
City	:	SECANE
State	:	PA
Zip	:	19018-3504
Country	:	US
Telephone Number	:	610-237-6848
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TANMAY SINHA
Credential	:
Telephone Number	:	412-583-8547

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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