Organization Active NPI

Dream Smile LLC

  • General Practice Dentistry
  • Chester, PA
National Provider Identifier
1679817951
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036662 Issued in PA
Legal business name
DREAM SMILE LLC
Practice address
801 Upland Ave
Suite B
Chester, PA 19013-4900
Phone
(610) 499-9999
Fax
(610) 571-3393
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Susmita Parab, DDS
Title
President & Ceo
Phone
(407) 491-5298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS036662 PA Primary

Addresses

Primary practice location

801 Upland Ave
Suite B
Chester, PA 19013-4900

Mailing address

6 Phillips Cir
Aston, PA 19014-3613
Phone (407) 491-5298

National Provider Directory

National Provider Directory

Locations

801 Upland Ave
Apt B
Uppr Chichstr, PA 19013
Phone (347) 659-3519

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1679817951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PHILLIPS CIR",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190143613",
            "telephone_number": "407-491-5298",
            "fax_number": "610-571-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 UPLAND AVE",
            "address_2": "SUITE B",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134900",
            "telephone_number": "610-499-9999",
            "fax_number": "610-571-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PARAB",
        "authorized_official_first_name": "SUSMITA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "407-491-5298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.