Active NPI
Smilestone Dental of North Wales LLC
- Dentist
- North Wales, PA
National Provider Identifier
1114264918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.