Organization Active NPI

Pure Smile Dentistry

  • General Practice Dentistry
  • North Wales, PA
National Provider Identifier
1073216214
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PURE SMILE DENTISTRY
Practice address
981 N Wales Rd Ste 7
North Wales, PA 19454-1422
Phone
(240) 893-1973
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Eun Hye Lee, DDSNPI 1740582832
Title
Owner Dentist
Phone
(240) 893-1973

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

981 N Wales Rd Ste 7
North Wales, PA 19454-1422

Mailing address

981 N Wales Rd Ste 7
North Wales, PA 19454-1422
Phone (240) 893-1973

National Provider Directory

National Provider Directory

Locations

981 N Wales Rd
Ste 7
North Wales, PA 19454
Phone (215) 362-4720

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1073216214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N WALES RD STE 7",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541422",
            "telephone_number": "240-893-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 N WALES RD STE 7",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541422",
            "telephone_number": "240-893-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SMILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUN HYE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "240-893-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.