Organization Active NPI

Bespoke Smiles

  • Dental Clinic/Center
  • Marlton, NJ
National Provider Identifier
1063305712
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BESPOKE SMILES
Practice address
825 Route 73 N Ste E
Marlton, NJ 08053-1271
Phone
(856) 336-9148
NPI assigned
Jun 2, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Kekul Bharucha, DDSNPI 1164075008
Title
Owner
Phone
(317) 657-6861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

825 Route 73 N Ste E
Marlton, NJ 08053-1271

Mailing address

3305 Abitare Blvd
Voorhees, NJ 08043-2687

National Provider Directory

National Provider Directory

Locations

825 Route 73 N
Ste E
Marlton, NJ 08053
Phone (856) 336-9148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1063305712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 ABITARE BLVD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ROUTE 73 N STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531271",
            "telephone_number": "856-336-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A",
        "authorized_official_last_name": "BHARUCHA",
        "authorized_official_first_name": "KEKUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-657-6861",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.