Wallingford Smilemakers LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS028517L Issued in PA

Legal business name

WALLINGFORD SMILEMAKERS LLC

Practice address

1 Chester Rd
Wallingford, PA 19086-6601

Phone

(610) 874-5700

Fax

(610) 872-5348

NPI assigned

Nov 17, 2014

Last updated

Nov 18, 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

Dr. Ronald Michael Hayes, DMDNPI 1477610418

Title

Owner/Dentist

Phone

(610) 874-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ronald Michael Hayes, DMD

  • General Practice Dentistry
  • Wallingford, PA
  • NPI 1477610418
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1265838379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHESTER RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866601",
            "telephone_number": "610-874-5700",
            "fax_number": "610-872-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTER RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866601",
            "telephone_number": "610-874-5700",
            "fax_number": "610-872-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD SMILEMAKERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "610-874-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS028517L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PCAN",
            "identifier": "7370300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Nursing Group, LLC (The DMB Group, LLC)
• Mary Beth Totino
• Vicky Tubens-Lowa, FNP-BC
• Zoltan Paul Varga, OTR/L
• Wallingford Nursing and Rehabilitation Center-Wallingford PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Wallingford))
• Wallingford Swarthmore SD
• Wallingford-Swarthmore School District
• Wallingford-Swarthmore SD
• Whole Senior Care LLC
• John Anthony Williamson, PHARMD

• Dental Clinic/Center in Wallingford, PA
• Providers in Wallingford, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.