Lasting Smiles of Willowgrove LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LASTING SMILES OF WILLOWGROVE LLC

Practice address

35 York Rd
Willow Grove, PA 19090-3419

Phone

(215) 366-5678

Fax

(215) 346-2672

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By 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

Chandan Chadha, DENTIST

Title

Dentist

Phone

(516) 749-3163

Specialties & licenses 1

Addresses

Locations

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.

• Kinga Kostolowska, DMD

  • Dentist
  • Willow Grove, PA
  • NPI 1679971493
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1386275642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903419",
            "telephone_number": "215-366-5678",
            "fax_number": "215-346-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903419",
            "telephone_number": "215-366-5678",
            "fax_number": "215-346-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING SMILES OF WILLOWGROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "CHANDAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-749-3163",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Krimker
• Jessica Kroes, MD
• Chad Arthur Krueger, M.D.
• La-Toya V Larke, LMSW
• Douglas W Laske, MD
• Kristin Law, OTR/L, CLT, WCC
• Michelle M Lazarski, PT
• Jamie Joanne Le, PA-C
• Michelle Lee
• Lehigh Valley Hospital

• General Practice Dentistry in Willow Grove, PA
• Providers in Willow Grove, 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 Jan 27, 2020; 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.