Legendary Smiles PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038087 Issued in PA

Legal business name

LEGENDARY SMILES PC

Practice address

1330 W Chester Pike
Havertown, PA 19083-3246

Phone

(610) 789-4040

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Meetu Singh

Title

Insurance Coordinator

Phone

(610) 717-4212

Specialties & licenses 1

Addresses

Other names 1

• Legendary Smiles Doing business as

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1740767458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833246",
            "telephone_number": "610-789-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833246",
            "telephone_number": "610-789-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MEETU",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "610-717-4212"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legendary Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Leaf, MA, LAPC
• Lee G Taylor DDS PC
• Jenny Lee
• John J Lee, MD
• Lefkowitz Enterprises, LLC
• Robert David Lehman Jr., M.D.
• Joanne Leibowitz
• Laura Lemon, MSEL
• Karen Lemonm, PSYD.
• Addison Jade Lerner

• General Practice Dentistry in Havertown, PA
• Providers in Havertown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.