NPIMap

Organization Active NPI

Avenue of Smiles Pediatric Dental LLC

  • Pediatric Dentistry
  • Evesham, NJ
National Provider Identifier
1477486553
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AVENUE OF SMILES PEDIATRIC DENTAL LLC
Practice address
520 Lippincott Dr
Evesham, NJ 08053-4804
Phone
(480) 272-4812
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Chandani Patel, DDSNPI 1932648862
Title
Pediatric Dentist
Phone
(480) 272-4812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

520 Lippincott Dr
Evesham, NJ 08053-4804

Mailing address

520 Lippincott Dr
Evesham, NJ 08053-4804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1477486553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LIPPINCOTT DR",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080534804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LIPPINCOTT DR",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080534804",
            "telephone_number": "480-272-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE OF SMILES PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHANDANI",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "480-272-4812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evesham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.