NPIMap

Organization Active NPI

Absolute Smile Inc

Doing business as Absolute Smile

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1316389042
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031318-L Issued in PA
Legal business name
ABSOLUTE SMILE INC
Doing business as
Absolute Smile
Practice address
10100 Jamison Ave
226
Philadelphia, PA 19116-3832
Phone
(215) 464-1704
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Boris Fridman
Title
Owner/Ptactitioner
Phone
(215) 464-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS031318-L PA Primary

Addresses

Primary practice location

10100 Jamison Ave
226
Philadelphia, PA 19116-3832

Mailing address

10100 Jamison Ave
226
Philadelphia, PA 19116-3832
Phone (215) 464-1704

Other names 1

  • Absolute Smile Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Absolute Smile4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10100 Jamison Ave
#226
Philadelphia, PA 19116
Phone (215) 464-1704

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1316389042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE",
            "address_2": "226",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-464-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE",
            "address_2": "226",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-464-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE SMILE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "FRIDMAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER/PTACTITIONER",
        "authorized_official_telephone_number": "215-464-1704"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031318-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.