Pediatric Dental Health LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DSO38799 Issued in PA

Legal business name

PEDIATRIC DENTAL HEALTH LLC

Doing business as

Sea of Smiles Pediatric Dentistry

Practice address

2842 Street Rd
Bensalem, PA 19020-2651

Phone

(215) 433-1840

Fax

(412) 317-1568

NPI assigned

Jan 25, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mukund Patel, DMD

Title

Owner

Phone

(215) 433-1840

Specialties & licenses 1

Addresses

Other names 1

• Sea of Smiles Pediatric Dentistry Doing business as

Tax ID family

Pediatric Dental Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Dental Health, LLC

  dba Sea of Smiles

  • Pediatric Dentistry
  • Bensalem, PA
  • NPI 1952850802
  NPD tax ID

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1790222974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202651",
            "telephone_number": "215-433-1840",
            "fax_number": "412-317-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202651",
            "telephone_number": "215-433-1840",
            "fax_number": "412-317-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-433-1840",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DSO38799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea of Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sima Patel, PHARMD
• Pathmark Stores Inc (Pathmark Pharmacy)
• Jack M. Payson, MA
• Lorena Peake, NP
• Louis Samuel Pearlstein, D.O.
• Pediatric Dental Health, LLC (Sea of Smiles)
• Alexis Pekala
• Penn Life Care Health LLC
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #16541)
• Pennsylvania CVS Pharmacy LLC

• Pediatric Dentistry in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.