Smile Designers of North Wales PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE DESIGNERS OF NORTH WALES PC

Practice address

118 Dickerson Rd Ste D
North Wales, PA 19454-2538

Phone

(215) 699-0650

Fax

(215) 699-9599

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mathew K Cherian, DDS

Title

President

Phone

(215) 699-0650

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1255896759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD STE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-0650",
            "fax_number": "215-699-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD STE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-0650",
            "fax_number": "215-699-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGNERS OF NORTH WALES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-699-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598974115",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245769454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marielle Elizabeth Silberman, LCSW
• Laurie Simmonds, OD
• Andrea Foley Sinnamon, D.D.S.
• SJR DO PC
• Daniel L Skubick, M.D.
• Smilestone Dental of North Wales LLC
• Amy Barbara Smith, PA-C
• Kimberly L Smith, PT, CHT
• Mehrdad Soheilimoghadam
• Jun Sohn, DC

• General Practice Dentistry in North Wales, PA
• Providers in North Wales, 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 Feb 8, 2019; 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.