Smile Exchange of Springfield, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040277 Issued in PA

Legal business name

SMILE EXCHANGE OF SPRINGFIELD, LLC

Practice address

500 N Gulph Rd
King of Prussia, PA 19406-2816

Phone

(610) 994-9738

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bundy, D.M.D

Title

Owner/Member

Phone

(267) 530-5706

Specialties & licenses 1

Addresses

Other names 1

• Smile Exchange Doing business as

Locations

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1831586767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NORTH BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062816",
            "telephone_number": "610-994-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE EXCHANGE OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "267-530-5706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Exchange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Chana Singer, PSYD
• Tanvir Singh, DMD
• Sophia Skrzat, M.S., CCC-SLP
• Patricia Ashley Slater, DPT
• Zanetta L. Smedley, P.A.-C.
• Briana Natasha Smith, LCSW
• Erin Smith, BCBA
• Hannah Rose Smith
• Kierstan Smith
• Ryan A Smith

• General Practice Dentistry in King of Prussia, PA
• Providers in King of Prussia, 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 Apr 17, 2015; 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.