NPIMap

Organization Active NPI

Springfield Dental Associates, LLC

Doing business as Simply Beautiful Smiles

  • Dentist
  • Springfield, PA
National Provider Identifier
1295261709
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS027954L Issued in PA
Legal business name
SPRINGFIELD DENTAL ASSOCIATES, LLC
Doing business as
Simply Beautiful Smiles
Practice address
1 W Woodland Ave
Springfield, PA 19064-2325
Phone
(610) 543-5673
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Paige D'Angelo, CDA, RDA
Title
Chief Operating Officer
Phone
(609) 828-8986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS027954L PA Primary

Addresses

Primary practice location

1 W Woodland Ave
Springfield, PA 19064-2325

Mailing address

1 W Woodland Ave
Springfield, PA 19064-2325
Phone (610) 543-5673

Other names 1

  • Simply Beautiful Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1 W Woodland Ave
Springfield, PA 19064
Phone (215) 543-4000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1295261709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642325",
            "telephone_number": "610-543-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642325",
            "telephone_number": "610-543-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-828-8986",
        "authorized_official_credential": "CDA, RDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027954L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Beautiful Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.