Celebrity Smiles, LLC

Organization Active NPI General Practice Dentistry · Flourtown, PA

NPI 1649420977 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1649420977
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS035402 (PA)
Legal business name
CELEBRITY SMILES, LLC
Practice address
1811 Bethlehem Pike
Suite a-102
Flourtown, PA 19031-1111
Phone
(215) 233-5811
Fax
(215) 233-5799
NPI assigned
Sep 23, 2008
Organization subpart
No

Authorized official

Name
Dr. Taral Tushar Mehta, D.M.D.
Title
President
Phone
(215) 233-5811

National Provider Directory

Locations

1811 Bethlehem Pike
Ste A102
Flourtown, PA 19031
Phone (215) 233-5811

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DS035402 PA Yes

Addresses

Primary practice location

1811 Bethlehem Pike
Suite a-102
Flourtown, PA 19031-1111

Mailing address

1811 Bethlehem Pike
Suite a-102
Flourtown, PA 19031-1111
Phone (215) 233-5811

Other providers in Flourtown, PA

All providers in Flourtown, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.