Smile Makers Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE MAKERS DENTISTRY PC

Practice address

1192 W Penn Ave
Womelsdorf, PA 19567-9702

Phone

(610) 589-6084

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Minki Jung, DMDNPI 1649662636

Title

Owner

Phone

(610) 589-6084

Specialties & licenses 1

Addresses

Other names 1

• SMILE MAKERS Doing business as

Locations

Practitioners 1

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

• Minki Jung, D.M.D.

  • General Practice Dentistry
  • York, PA
  • NPI 1649662636
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1740880442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TOLL GATE STA",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015687",
            "telephone_number": "216-903-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 W PENN AVE",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679702",
            "telephone_number": "610-589-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAKERS DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "MINKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-589-6084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE MAKERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pennsylvania CVS Pharmacy, L.L.C.
• Pure Birthing Bliss LLC
• Rite Aid of Pennsylvania LLC
• Albert D Roke, M.D.
• Charity Shenk
• Smile Makers, PC
• Sarah Snyder, MSW, LCSW
• Catherine Ann Stoudt, RPH
• Supplement You Inc.
• Marley Vanderbrook

• General Practice Dentistry in Womelsdorf, PA
• Providers in Womelsdorf, 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 Oct 30, 2020; 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.