Timeless Smiles Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIMELESS SMILES DENTAL LLC

Practice address

1590 Medical Dr Ste D
Pottstown, PA 19464-3247

Phone

(610) 686-6670

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Chad Ritter

Title

Owner, Practice Manager

Phone

(610) 686-6670

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.

• Sean Paresh Shukla, DDS

  • General Practice Dentistry
  • Pottstown, PA
  • NPI 1215503347

  General Practice

  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1730920554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 MEDICAL DR STE D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643247",
            "telephone_number": "610-686-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 MEDICAL DR STE D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643247",
            "telephone_number": "610-686-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS SMILES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER, PRACTICE MANAGER",
        "authorized_official_telephone_number": "610-686-6670"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Darnell Oneil Tisdale
• Suman Tiwari, MD

• All providers in Pottstown, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.