Beautiful Smile Care, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEAUTIFUL SMILE CARE, PC

Practice address

1885 Swamp Pike
Suite 110
Gilbertsville, PA 19525-9666

Phone

(610) 326-4448

Fax

(610) 326-9414

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Paresh D Boghara

Title

Manager

Phone

(610) 326-4448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1083007553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 SWAMP PIKE",
            "address_2": "SUITE 110",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259666",
            "telephone_number": "610-326-4448",
            "fax_number": "610-326-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 SWAMP PIKE",
            "address_2": "SUITE 110",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259666",
            "telephone_number": "610-326-4448",
            "fax_number": "610-326-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-326-4448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gilbertsville, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.