Organization Active NPI

Smilestone Dental of North Wales LLC

  • Dentist
  • North Wales, PA
National Provider Identifier
1114264918
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILESTONE DENTAL OF NORTH WALES LLC
Practice address
515 Stump Rd
Unit 205
North Wales, PA 19454-1518
Phone
(215) 822-1866
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Brian Wilk
Title
Dentist
Phone
(215) 822-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

515 Stump Rd
Unit 205
North Wales, PA 19454-1518

Mailing address

200 Highpoint Dr
Suite 220
Chalfont, PA 18914-3925
Phone (215) 822-1866

National Provider Directory

National Provider Directory

Locations

200 Highpoint Dr
Ste 220
Chalfont, PA 18914
Phone (215) 488-7855

515 Stump Rd
Ste 205
North Wales, PA 19454
Phone (215) 368-2966

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1114264918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHPOINT DR",
            "address_2": "SUITE 220",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143925",
            "telephone_number": "215-822-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STUMP RD",
            "address_2": "UNIT 205",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541518",
            "telephone_number": "215-822-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILESTONE DENTAL OF NORTH WALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-822-1866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "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 Jan 14, 2013; 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.