Smilehaus Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILEHAUS PEDIATRIC DENTISTRY, PLLC

Doing business as

Smilehaus

Practice address

200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938

Phone

(717) 589-4500

Fax

(717) 207-7060

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nana Odoom, DDSNPI 1629326319

Title

Pediatric Dentist

Phone

(717) 589-4500

Specialties & licenses 1

Addresses

Other names 1

• Smilehaus Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nana Odoom, DDS

  • Dentist
  • Mechanicsburg, PA
  • NPI 1629326319
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1417612573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 OLD FARM LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170504117",
            "telephone_number": "571-225-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BENT CREEK BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501938",
            "telephone_number": "717-589-4500",
            "fax_number": "717-207-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEHAUS PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "ODOOM",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "717-589-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smilehaus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annaelena Siperko
• Glenn Scott Slick Jr., MD
• Kristen Slinkard
• Susan Mackie Slopey, MA
• Kenneth Gregory Small, PH.D.
• Smiles on Trindle Dental Care
• Adrianna Faith Smith
• Angela Renee Smith, CCC-SLP
• Ashlynne N Smith
• Deborah H Smith, CRNP

• Pediatric Dentistry in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.