Smile Exchange of Malvern, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE EXCHANGE OF MALVERN, LLC

Practice address

5 S. Morehall Rd
Suite 700B
Malvern, PA 19355

Phone

(484) 302-2700

Fax

(610) 296-2300

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bundy Bundy, DMD

Title

Medical Director

Phone

85664225200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1285169243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S. MOREHALL RD",
            "address_2": "SUITE 700B",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "484-302-2700",
            "fax_number": "610-296-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S. MOREHALL RD",
            "address_2": "SUITE 700B",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "484-302-2700",
            "fax_number": "610-296-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE EXCHANGE OF MALVERN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BUNDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "85664225200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Malvern, PA
• Providers in Malvern, 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 Apr 27, 2017; 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.