Fresh Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FRESH SMILES PLLC

Practice address

140 W Germantown Pike Ste 150
Plymouth Meeting, PA 19462-1434

Phone

(484) 531-7410

Fax

(484) 532-8222

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Shea Bower, DMDNPI 1285072975

Title

Owner

Phone

(717) 433-6714

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.

• Jordan Shea Bower, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1285072975
  NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1679287676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE STE 150",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621434",
            "telephone_number": "484-531-7410",
            "fax_number": "484-532-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE STE 150",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621434",
            "telephone_number": "484-531-7410",
            "fax_number": "484-532-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-433-6714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedeirdre Freeman, RN
• Erlease Freeman, RN
• Mardea Freeman, CNA
• Mattie Freeman
• Heather Frehafer, RN
• Lorna Fretwell, LPN
• Glenn Freund
• Bruce Frey
• Martha Friedman-Weinstein, OT
• William Frierson Jr., RN

• Dental Clinic/Center in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.