Advance Smile Dental Creator LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCE SMILE DENTAL CREATOR LLC

Practice address

927 Chestnut St
Emmaus, PA 18049-2021

Phone

(610) 965-2755

Fax

(610) 965-2755

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haresh K Nada

Title

Member

Phone

(734) 837-3424

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mashal Farrukh, DDS

  • Dentist
  • Emmaus, PA
  • NPI 1760163323
  NPD (past)
• Niravkumar Kanubhai Patel, DMD

  • Dentist
  • Emmaus, PA
  • NPI 1184224008
  NPD (past)
• Presha Shah

  • Dentist
  • Emmaus, PA
  • NPI 1598494866
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1174994941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492021",
            "telephone_number": "610-965-2755",
            "fax_number": "610-965-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492021",
            "telephone_number": "610-965-2755",
            "fax_number": "610-965-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SMILE DENTAL CREATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "NADA",
        "authorized_official_first_name": "HARESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-837-3424"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Noemi Ablan
• Ai Orthodontics
• Gianna Albanese
• Michael J Allebach, DPT
• Alyssa Allem, LMT
• Caitlin Allen, LMT

• General Practice Dentistry in Emmaus, PA
• Providers in Emmaus, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.