MEDICARE: SIGNATURE SMILE PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223P0221X	Pediatric Dentistry
2	1223P0300X	Periodontics
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
5	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1871440677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE SMILE PC

Provider Business Mailing Address
First Line	:	401 COMMERCE DR STE 108
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 COMMERCE DR STE 108
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2724
Country	:	US
Telephone Number	:	215-646-7000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NIRANJAN SAVANI
Credential	:
Telephone Number	:	215-646-7000

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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