Organization Active NPI

Smile Doctors of Pennsylvania, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Allentown, PA
National Provider Identifier
1013745033
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE DOCTORS OF PENNSYLVANIA, P.C.
Practice address
1605 N Cedar Crest Blvd Ste 519
Allentown, PA 18104-2389
Phone
(610) 435-2788
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory G. Goggans, DMD
Title
President
Phone
(719) 569-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1605 N Cedar Crest Blvd Ste 519
Allentown, PA 18104-2389

Mailing address

5400 LBJ Fwy Ste 800
Dallas, TX 75240-1058
Phone (719) 252-1860

Other practice location 1

443A State St
Hamburg, PA 19526-1203
Phone (610) 562-5185

National Provider Directory

National Provider Directory

Locations

1605 N Cedar Crest Blvd
Ste 519
Allentown, PA 18104
Phone (610) 435-2788

443A State St
Hamburg, PA 19526
Phone (610) 562-5185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1013745033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401058",
            "telephone_number": "719-252-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 519",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042389",
            "telephone_number": "610-435-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443A State St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "PA",
            "postal_code": "195261203",
            "country_code": "US",
            "telephone_number": "610-562-5185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DOCTORS OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "GOGGANS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-569-5715",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.